某院骨科围术期镇痛药物使用情况及合理性评价  

Evaluation of the Use and Rationality of Analgesic Drugs During Orthopedic Perioperative Period in a Hospital

作　　者：邓银 陈立潍 唐红梅 刘磊 周红 DENG Yin;CHEN Liwei;TANG Hongmei;LIU Lei;ZHOU Hong(People's Hospital of Tongnan District,Chongqing,China 402660)

机构地区：[1]重庆市潼南区人民医院,重庆402660

出　　处：《中国药业》2025年第3期10-14,共5页China Pharmaceuticals

基　　金：重庆市潼南区科研项目[TK-2022-13]。

摘　　要：目的规范围术期镇痛药物的临床合理使用。方法采用回顾性分析方法,随机抽取某院骨科2023年1月至12月围术期使用镇痛药物的500份病历,涉及患者500例,收集患者的基本信息、围术期镇痛药物使用情况、用药后的有效性及安全性,并根据相关指南、共识、药品说明书评价其用药合理性。结果共253例患者存在313例次用药不合理情况,主要包括遴选药物不适宜(15.02%)、用法用量不适宜(50.80%)、联合用药不适宜(27.48%)及总体用药方案不合理(6.71%)。结论该院还存在围术期镇痛药物使用不合理情况,应加强其规范、合理应用。Objective To standardize the clinical rational use of analgesic drugs during the perioperative period.Methods A retrospective analysis was conducted on 500 medical records(involving 500 patients)of analgesic drugs during the perioperative period in a hospital randomly selected from January to December 2023.The patients'basic information,use of analgesic drugs during the perioperative period,effectiveness and safety of medication were collected,and the rationality of medication was evaluated according to relevant guidelines,consensus,and drug instructions.Results A total of 253 patients had 313 cases of inappropriate medication,mainly including inappropriate drug selection(15.02%),inappropriate usage and dosage(50.80%),inappropriate combined medication(27.48%),and irrational overall medication regimen(6.71%).Conclusion Irrational use of analgesic drugs during the perioperative period still exists in the hospital,and its standardized and rational use should be strengthened.

关 键 词：镇痛药物 骨科手术 围术期 合理用药 用药评价 

分 类 号：R95[医药卫生—药学] R971