青岛地区29家医院阿片类镇痛药使用分析  

Analysis of the Utilization of Opioid Analgesic Drugs in 29 Hospitals of Qingdao District

作　　者：李祥鹏[1] 秦贤[2] 荆凡波[1] 韩冰[1] 隋忠国[1] 

机构地区：[1]青岛大学附属医院药学部,山东青岛266003 [2]青岛市市立医院ICU,山东青岛266015

出　　处：《中国药房》2016年第26期3621-3623,共3页China Pharmacy

摘　　要：目的:了解青岛地区阿片类镇痛药用量及销售金额构成情况。方法:调查该地区29家二级以上公立医院阿片类镇痛药的消耗数据,采用ABC分析法及限定日剂量法进行统计分析。结果:ABC分析中A类5种药品占全部品种数的20%,销售金额占比为77.38%;B类4种药品占全部品种数的16.00%,销售金额占比为11.98%;其余16种药品占全部品种数的64.00%,销售金额占比为10.64%。盐酸羟考酮缓释片和硫酸吗啡缓释片作为使用频度(DDDs)最高,消耗了较多的医疗费用,序号比=1.00,同步性较好,符合临床工作的实际需要。结论:该地区阿片类镇痛药的费用构成比例与理论值相符,未出现明显的费用与DDDs不符的现象。OBJECTIVE：To investigate the dosage and consumption sum of opioid analgesic drug in Qingdao district. METHODS：The consumption data of drugs in 29 public hospitals at secondary or above level in Qingdao district were analyzed statistically by ABC analytic methods and defined daily dose methods. RESULTS：In ABC analysis,5 kinds of class A drugs accounted for20% of the total number of species,and the percentage of consumption sum was 77.38%;4 kinds of class B drugs accounted for16.00% of all species numbers,and the percentage of consumption sum was 11.98%;other 16 kinds of drugs accounted for64.00% of the total number of species,and the percentage of consumption sum was 10.64%. Oxycodone sustained-release tablets and Morphine sustained-release tablets with the highest DDDs consumed more health care costs,serial number ratio was 1.00,synchronization was good and conform to the actual needs of clinical work. CONCLUSIONS：The composition ratio of opioid analgesic drug costs is consistent with the theoretical value,significant discrepancy between cost and DDDs does not appear.

关 键 词：ABC分析法 阿片类镇痛药 限定日剂量 销售金额 用药频度 

分 类 号：R969.3[医药卫生—药理学] R952[医药卫生—药学]