运用PCNE分类体系对癌痛患者麻醉镇痛药物的处方分析  

Comments on the Prescriptions of Analgesic Drugs for the Patients with Cancer Pain Using PCNE Classification System

作　　者：张萍[1] 廖赟 吕丹[1] 陈清清[1] 瞿慧君[1] 叶明功 李玲[1] Zhang Ping;Liao Yun;Lv Dan;Chen Qingqing;Qu Huijun;Ye Minggong;Li Ling(Department of Pharmacy, Tongren Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200336, Chin)

机构地区：[1]上海市同仁医院上海交通大学医学院附属同仁医院药学部,上海200336

出　　处：《中国药师》2018年第6期1051-1054,共4页China Pharmacist

基　　金：上海交通大学医学院医院药学科研基金项目(编号:JDYX2017ZD005);上海市长宁区卫生计生系统医疗特色专科项目(编号:2014201001)

摘　　要：目的:运用欧洲医药保健网分类系统(PCNE)分类体系,点评分析癌痛患者麻醉药品处方使用现状,以促进麻醉镇痛药物处方的合理使用。方法:分析2017年1~12月入住癌痛规范化治疗示范病房的的处方数据,对麻醉镇痛药物处方中药物相关问题(DRPs)进行分类汇总。结果:2017年1~12月癌痛规范化治疗示范病房住院患者115人次,麻醉镇痛药物处方共321张,其中DRPs发生数为55例。问题类型主要集中在"治疗安全性",占所有DRPs的72.3%。按原因分类统计,"药物选择"导致DRPs的比率最高,占63.2%,其次为"剂量选择",占20.6%。结论:麻醉镇痛处方规范合理仍有待提升。根据PCNE分类体系的解析,需要加强与临床医生反馈现有的医嘱问题;开展癌痛患者的宣教;进一步对调剂药学人员进行麻、精药品知识培训,强化对麻醉镇痛药处方用药的监管。Objective： To analyze the prescriptions of analgesic drugs for the patients with cancer pain,and promote the rational use of narcotic and analgesic prescriptions. Methods： Using the PCNE classification system,the list of all drug-related problems（ DRPs） from 115 patients admitted to the standardized treatment of cancer pain from January to December 2017 was analyzed. Results： In our hospital from January to December 2017,there were 52 cases of prescribed DRPs for narcotic and analgesic drugs in the standardized treatment of cancer pain with the incidence of 45. 22%. DRPs mainly focused on treatment safety with the incidence of72. 31%. The drug choice caused the highest incidence of DRPs accounting for 63. 24%,followed by dose selection accounting for20. 59%. Conclusion： There are still unreasonable prescriptions of narcotic analgesia in our hospital. According to the PCNE classification system,it is necessary to strengthen the communication with clinicians,carry out education for the patients with cancer pain,and further educate pharmacy staff on the knowledge of analgesic drugs. Through the above measures,the regulation of prescription medication for narcotic analgesics can be intensified.

关 键 词：欧洲医药保健网分类系统 药物相关性问题 麻醉药品 镇痛药品 处方点评 

分 类 号：R97[医药卫生—药品]