2016—2017年中国科学技术大学附属第一医院门急诊麻醉药品应用调查与分析  

Investigation and Analysis on Application of Narcotic Drugs in Outpatient and Emergency Department from the First Affiliated Hospital of University of Sciences and Technology of China During 2016-2017

作　　者：李晨[1] 李民 史天陆 LI Chen;LI Min;SHI Tianlu(Dept.of Pharmacy,the First Affiliated Hospital of University of Sciences and Technology of China,Anhui Hefei 230036,China)

机构地区：[1]中国科学技术大学附属第一医院药剂科,安徽合肥230036

出　　处：《中国医院用药评价与分析》2018年第8期1094-1096,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解中国科学技术大学附属第一医院(以下简称"我院")门急诊麻醉药品的使用情况并评价其合理性,为临床合理使用麻醉药品提供参考。方法:采用用药频度(defined daily dose system,DDDs)分析法,调取2016—2017年我院门急诊麻醉药品处方1 915张,对麻醉药品的使用数据进行统计分析。结果:2016—2017年我院门急诊使用的麻醉药品共11个品种,其中片剂7种,注射剂4种,处方数排序居前3位的麻醉药品依次为盐酸羟考酮缓释片(782张)、阿桔片(765张)和盐酸吗啡片(131张);DDDs排序居前3位的麻醉药品也依次为盐酸羟考酮缓释片、阿桔片和盐酸吗啡片,硫酸吗啡缓释片的DDDs相对偏低,盐酸哌替啶注射液的DDDs最低;盐酸羟考酮缓释片的限定日费用远高于其他品种,其次为硫酸吗啡缓释片。结论:我院门急诊麻醉药品的使用基本合理,但仍然需要加强对麻醉药品处方的干预,进一步促进门急诊合理应用麻醉药品。OBJECTIVE： To investigate the application status of narcotic drugs in outpatient and emergency department from the first affiliated hospital of University of Sciences and Technology of China（ hereinafter referred to as＂our hospital＂） and to evaluate the application rationality,so as to provide reference for the rational application of narcotic drugs in clinic. METHODS： Defined daily dose system（ DDDs） analysis method was adopted,1 915 outpatient and emergency prescriptions with narcotic drugs during 2016-2017 were extracted,statistical analysis was conducted on application data of narcotic drugs. RESULTS： During 2016-2017,there were 11 categories of anesthetic drugs used in the outpatient and emergency department of our hospital,including 7 kinds of tablets and 4 kinds of injections; the top 3 anesthetic drugs ranked by the number of prescriptions were respectively Oxycodone hydrochloride sustained-release tablets（ 782 sheets）,Citrus tablets（ 765 sheets） and Morphine hydrochloride tablets（ 131 sheets）.The top 3 anesthetic drugs ranked by DDDs were respectively Oxycodone hydrochloride sustained-release tablets,Citrus tablets and Morphine hydrochloride tablets; the DDDs of Morphine sulfate sustained-release tablets was relatively low,and the lowest DDDs was pethidine hydrochloride injection. The defined daily cost（ DDC） of Oxycodone hydrochloride sustained-release tablets was much higher than other categories,followed by Morphine sulfate sustainedrelease tablets. CONCLUSIONS： The application of narcotic drugs in outpatient and emergency department of our hospital is basically reasonable,but it still needs to strengthen the intervention on the prescription of narcotic drugs and further promote the rational application of narcotic drugs in outpatient and emergency department.

关 键 词：门急诊 麻醉药品 用药频度 

分 类 号：R971.2[医药卫生—药品]