2012年甘肃省人民医院住院肿瘤患者麻醉药品使用分析  

Utilization of Narcotic Drugs in Cancer Inpatients in Gansu Provincial People's Hospital in 2012

作　　者：杨孝来[1] 贺成山 薛虎[1] 张虹婷[1] 李红玲[2] 

机构地区：[1]甘肃省人民医院药剂科,兰州730000 [2]甘肃省人民医院肿瘤内科,兰州730000

出　　处：《中国医院用药评价与分析》2014年第4期335-338,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的：了解甘肃省人民医院住院肿瘤患者麻醉药品的使用情况,为麻醉药品在肿瘤患者中的合理使用提供参考.方法：回顾性调查该院2012年麻醉药品处方,分析患者的性别、年龄、诊断、肿瘤类型及各种麻醉药品的使用模式.结果：共有783人次使用麻醉药品,其中男性446人次,占56.58％,平均年龄（55.8 ±11.9）岁（年龄范围2～88岁）,大于60岁者（37.80％）是使用麻醉药品最多的人群.使用麻醉药品的肿瘤患者中排在前6位的是：大肠癌（23.88％）、胃癌（16.96％）、肺癌（10.47％）、肝癌（7.91％）、胆道肿瘤（4.98％）及胰腺癌（4.98％）;住院肿瘤患者使用的麻醉药品注射剂型处方数高于口服剂型处方数;207例接受口服长效麻醉药品的慢性癌痛患者中,115例（55.56％）镇痛麻醉药品选择不合理;癌痛患者使用麻醉药品存在剂量不足的情况.结论：从当前该院麻醉药品的使用模式可见,该院医师在癌痛治疗方面需强化麻醉药品剂量滴定,长、短效制剂的使用,麻醉药品替代、不良反应的处理及持续监测等合理用药意识.OBJECTIVE：To investigate the utilization of narcotic drugs for cancer patients in our hospital （Gansu Provincial People＇s Hospital） so as to provide reference for rational use of narcotic drugs.METHODS：The narcotic prescriptions in 2012 were analyzed retrospectively with regard to patients＇ gender and age,diagnosis,tumor type and utilization patterns of narcotics.RESULTS：Narcotic drugs were prescribed in a total of 783 cases,of whom,446 were males （56.58％）; the mean age of the patients were 55.8 ±11.9 years （2-88 years） with those aged above 60 years showing the highest proportion （37.80％）.The top 10 diagnoses for the cancer patients using narcotic drugs were colorectal cancer （23.88％）,gastric cancer （16.96％）,lung cancer （10.47％）,liver （7.91％）,biliary tract cancer （4.98％） and pancreatic cancer （4.98％） ; the number of prescriptions of narcotic drugs for injection was higher than the number of prescriptions for oral narcotic drugs; of the 207 patients with chronic cancer pain administered orally with long-acting narcotics,the use of analgesic narcotic drugs in 115 cases （55.56％） was irrational.The phenomenon of insufficient dosage of narcotic drugs for patients with cancer pain was noted.CONCLUSION：In view of the current utilization pattern of narcotic drugs in our hospital,it＇ s still necessary to strengthen the physicians＇ awareness on rational use of narcotic drugs in aspects of dose titration,use of long-or short-acting narcotic drugs,substitution of narcotics,management of adverse effects and continuous monitoring etc.

关 键 词：肿瘤 住院患者 麻醉药品 使用模式 评价 

分 类 号：R969.3[医药卫生—药理学] R287[医药卫生—药学]