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作 者:左燕[1,2] 杨世民[2] 王晓雯[1] 李静[1] 拓田
机构地区:[1]陕西省人民医院,西安710065 [2]西安交通大学医学院药学部,西安710061 [3]广东药学院,广州510006
出 处:《中国药房》2014年第34期3180-3183,共4页China Pharmacy
摘 要:目的:对2011-2013年某院麻醉药品临床应用情况及用药趋势进行分析,为临床合理应用麻醉药品提供参考。方法:利用医院信息系统,统计2011-2013年该院麻醉药品名称、规格、用量、销售金额等数据,计算药品用药频度(DDDs)、日均费用(DDC)等相关指标并进行分析。结果:该院麻醉性镇痛药用量逐年增加。在过去的3年中,芬太尼透皮贴剂及注射液DDDs均排在首位,吗啡制剂用量缓中有升,哌替啶用量呈下降趋势。结论:该院麻醉药品应用基本合理,癌症疼痛患者镇痛以使用吗啡制剂和芬太尼制剂为主,对麻醉药品的使用符合《癌症三阶梯止痛指导原则》。OBJECTIVE: To analyze the application and tendency of narcotic drugs in a hospital during 2011- 2013 so as to provide reference for clinical rational use of narcotic drugs. METHODS: By using HIS system, the utilization of narcotic drugs in the hospital during 2011- 2013 were analyzed statistically in respects of drug names, specifications, consumption amount, consumption sum, DDC and DDDs, etc. RESULTS: Consumption amount of narcotic drugs in the hospital increased year by year. Over the 3 years, Fentanyl transdermal patch and injection took up the lead in the list of DDDs; the amount of morphine preparations increased slowly and steadily but that of pethidine decreased. CONCLUSIONS: The utilization of narcotic drugs is rational in the hospital on the whole. Fentanyl preparations and morphine preparations are the predominant analgesic drugs for patients with cancer pain. The utilization of narcotics drugs in the hospital is in line with the Three Ladder Analgesic Treatment Programs of Cancer Pain Recommenced by WHO.
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