2015年某院癌痛患者麻醉性镇痛药使用合理性分析  

Rational Applications Analysis of Narcotic Analgesics of Cancer Pain Patients in One Hospital in 2015

作　　者：廖悠悠[1] 乔逸[1] 徐焕春[1] 马忠英[1] 文爱东[1] 

机构地区：[1]第四军医大学西京医院药剂科,西安710032

出　　处：《中国药师》2016年第12期2284-2285,2297,共3页China Pharmacist

基　　金：国家科技重大专项课题(编号:2011ZXJ09302)

摘　　要：目的:分析某院癌痛患者麻醉性镇痛药的使用情况、存在问题,促进癌痛临床合理用药。方法:调取某院2015年所有住院癌痛患者含麻醉性镇痛药的处方,对麻醉性镇痛药使用的合理性进行点评分析。结果:7 789张处方中不合理处方134张,处方不合格率为1.7%,处方问题主要表现在给药频次错误、医师签字与签章不符、修改未签章、用法错误等。结论:某院住院癌痛麻醉性镇痛药使用基本合理,为确保处方合格率应加强药事管理,药师监管,及时与医师沟通。Objective： To analyse the usage and problems in the use of narcotic analgesics of cancer pain patients in one hospital, to promote rational clinical use of drug. Methods： The cancer pain inpatient prescription of narcotic analgesic drugs in the hospital in 2015 was collected. The rationality of narcotic analgesics use were analyzed by prescription comment. Results： There were 134 unreasonable prescriptions in 7 789, which had a 1.7% unreasonable rate. The main problem were reflected as wrong frequency of dosing, mismatch of physician＇s signature and their signature, the modify of prescription unlabeled, usage errors, etc. Conclusion： The use of narcotic analgesics is the mostly reasonable in the hospital. In order to ensure reasonable rate of prescription, we should strengthen pharmacy management, supervision of pharmacists and communication with the physician in time.

关 键 词：麻醉性镇痛药 癌痛 处方点评 合理用药 

分 类 号：R971.2[医药卫生—药品]