某县级医疗机构阿片类药物使用情况分析  

Analysis of the use of opioids in a county-level hospital

作　　者：杨书程 武蓓[2] 郭晨婕 孟志强 王云凤 赵伟 王忠[2] YANG Shu-cheng;WU Bei;GUO Chen-jie;MENG Zhi-qiang;WANG Yun-feng;ZHAO Wei;WANG Zhong(Department of Pharmacy,Taiyuan People's Hospital,Taiyuan 030000,China;Department of Pharmacy,Second Hospital of Shanxi Medical University,Taiyuan 030000,China;Department of Pharmacy,Shanxi Medical University,Taiyuan 030001,China;Department of Pharmacy,Qingxu County People's Hospital,Taiyuan 030400,China;Department of Pharmacy,Wanbolin District Medical Group Central Hospital,Taiyuan 030024,China)

机构地区：[1]太原市人民医院,太原030000 [2]山西医科大学第二医院医院药学部,太原030000 [3]山西医科大学药学院,太原030000 [4]清徐县人民医院药剂科,太原030400 [5]万柏林区医疗集团中心医院,太原030024

出　　处：《中国药物依赖性杂志》2022年第3期218-222,共5页Chinese Journal of Drug Dependence

基　　金：山西省卫生健康委科研课题(2019118)。

摘　　要：目的 了解某县级医疗机构阿片类药物使用现状,为药品管理和合理应用提供参考。方法 分析某县医院2016—2020年阿片类药物处方,总结用药特点。结果 该医院阿片类药物总用量和总金额呈上升趋势,吗啡用量最大,舒芬太尼金额最高。66.18%的阿片类药物用于慢性癌痛患者,该类患者平均用药时间为37.06 d,日均口服吗啡当量为0.22 g/d。结论 县级医疗机构阿片类药物的用量逐渐增多,以慢性癌痛患者为主,但非癌性中、重度疼痛患者镇痛药使用不足,需加强教育。Objective To analyze the current use situation of opioids in a county-level hospital, so as to provide reference for opioid management and rational application. Methods By analyzing the prescription information of opioids from 2016 to 2020, opioid use characteristics were found in the county-level hospital. Results The total amount of opioids and the total amount of opioids in the hospital showed an upward trend. Of all opioids, morphine has the highest cumulative dosage, and sufentanil′s total cost is the highest. 66.18% opioids were used for patients with chronic cancer pain. The average duration of medication for these patients was 37.06 days, and the average daily oral morphine equivalent was 0.22 g/d. Conclusion The use of opioids in the county-level hospital has gradually increased. Patients with chronic cancer pain were the majority. Insufficient analgesia exists in patients with moderate and severe non-cancer related pain, and medication education should be strengthened among doctors and patients.

关 键 词：阿片类药物 口服吗啡当量 用药结构 合理用药 

分 类 号：R749[医药卫生—神经病学与精神病学]