癌痛患者麻醉性镇痛药的应用分析  

Application analysis of narcotic analgesic drugs in cancer pain patients

作　　者：李书琴[1] 汪明群[2] 

机构地区：[1]重庆市精神卫生中心,400036 [2]四川省宜宾市第一人民医院,644000

出　　处：《检验医学与临床》2015年第16期2364-2365,2368,共3页Laboratory Medicine and Clinic

摘　　要：目的分析宜宾市第一人民医院癌痛患者麻醉药品的使用情况,为临床合理使用麻醉药品提供依据。方法对宜宾市第一人民医院2013年1月至2014年12月麻醉性镇痛药物的应用进行统计分析。结果宜宾市第一人民医院癌痛患者的麻醉药品应用呈逐渐递增趋势。吗啡缓释片始终排在第一,芬太尼透皮贴由于其独特的给药途径,用量也在随季度增加。盐酸羟考酮缓释片和硫酸吗啡缓释片均可有效控制中、重度癌痛,但盐酸羟考酮缓释片安全性更高,因此羟考酮缓释片在2013年上半年首次引进以来,在2013年下半年就跃居第二位,有取代吗啡缓释片排名第一的趋势。结论宜宾市第一人民医院癌痛示范病房麻醉性镇痛药应用基本规范,还需进一步加强监督和管理,以促进更好的合理用药。Objective To analyze the use situation of narcotic analgesic drugs in cancer pain patients in the Yihin Municipal First People＇s Hospital in order to provide reference for clinical rational use of narcotic drugs. Meth- ods The consumption data of cancer analgesic drugs in this hospital from January 2013 to December 2014 were col- lected and statistically analyzed. Results The use of narcotic analgesic drugs in this hospital showed the gradually in- creasing trend. Morphine Sulfate Sustained=Release Tablet always ranked the first place in the use amount. The use a- mount of Fentanyt Transdermal Paste was also increased quarter by quarter due to its unique administration route. Oxycodone Hydrochloride Sustained-Release Tablet and Morphine Sulfate Sustained Release Tablet both could effectively control moderate or severe pain,but the former had higher safety,therefore since its introduce in the first half of 2013,its use amount leaped to the second place in the second half of 2013 ,which showed the trend for ranking the first place by replacing Morphine Sulfate Sustained-Release Tablet. Conclusion The application of narcotic analgesic drugs in the cancer demonstration wards of our hospital is basically standard, but it needs to further strengthen the supervision and management for promoting better rational drug use.

关 键 词：癌痛 麻醉性镇痛药 用药分析 

分 类 号：R714.3[医药卫生—妇产科学]