2019—2021年某三甲肿瘤专科医院门诊麻醉药品使用情况分析  

Analysis of the utilization of narcotic drugs in outpatient department of a grade Ⅲ cancer hospital from 2019 to 2021

作　　者：杜丽 杜艳[2] 李宇[3] Du Li;Du Yan;Li Yu(Department of Pharmacy,Shanxi Provincial Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan,Shanxi 030013,China;Department of Pharmacy,Shanxi Medical University,Taiyuan,Shanxi 030001,China;Department of Anesthesiology,Shanxi Provincial Cancer Hospital,Shanxi Hospital Afiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical Unversity,Taiyuan,Shanxi 030013,China)

机构地区：[1]山西省肿瘤医院、中国医学科学院肿瘤医院山西医院、山西医科大学附属肿瘤医院药学部,山西太原030013 [2]山西医科大学药学院,山西太原030001 [3]山西省肿瘤医院、中国医学科学院肿瘤医院山西医院、山西医科大学附属肿瘤医院麻醉科,山西太原030013

出　　处：《中国药物与临床》2023年第4期257-260,共4页Chinese Remedies & Clinics

摘　　要：目的 分析山西省肿瘤医院门诊麻醉药品的具体用药情况,为今后合理使用麻醉药品提供参考。方法 调取山西省肿瘤医院门诊2019—2021年麻醉药品的处方信息,采用限定日剂量法分别计算用药频度(DDDs)、日均费用(DDC)、排序比(B/A)等指标并进行分析评价。结果 山西省肿瘤医院2019—2021年门诊癌痛患者麻醉药品的总体用量呈先上升后下降的趋势,剂型以口服片剂为主;连续3年用药频度排在前列的分别是盐酸吗啡缓释片、盐酸吗啡片以及盐酸羟考酮缓释片;DDC值排在前列的麻醉药品为盐酸羟考酮缓释片、盐酸吗啡缓释片与芬太尼透皮贴;盐酸吗啡缓释片10 mg与盐酸吗啡片5 mg的用量逐年上升;盐酸羟考酮缓释片的用量逐年下降。结论 麻醉药品在我院门诊的整体使用情况基本合理,今后需要继续加强管理。Objective To analyze the specific application of narcotic drugs in the outpatient department of Shanxi Provincial cancer hospital so as to provide reference for the rational utilization of narcotic drugs in the future.Methods The prescriptions information of narcotic drugs in outpatient department of our hospital from 2019 to 2021 was collected.The DDDs,DDC and B/A were calculate,analyzed and evaluated by using the limited daily dose method respectively.Results The overall consumption amount of narcotic drugs for outpatients with cancer pain in our hospital from 2019 to 2021 showed a trend of increasing and then decreasing.Dosage forms were mainly oral tablets.For three consecutive years,Morphine hydrochloride sustained-release tablets,Morphine hydrochloride tablets and Oxycodone hydrochloride sustained-release tablets ranked at the top of the drug frequency;The narcotic drugs with the highest DDC value were Oxycodone hydrochloride sustained-release tablets,Morphine hydrochloride sustained-release tablets and Fentanyl transdermal patches;The dosage of Morphine hydrochloride sustained-release tablets 10 mg and Morphine hydrochloride tablets 5 mg were rising year by year,and the dosage of Oxycodonehydrochloride sustained-release tablets was declining year by year.Conclusion The overall utilization of narcotic drugs is basically rational in outpatient department of our hospital,but there is a need to continue to strengthen management in the future.

关 键 词：麻醉药 用药审查 费用控制 

分 类 号：R95[医药卫生—药学]