2020年-2023年湘潭市中心医院门急诊麻醉药品的使用情况分析  

Analysis on the use of narcotic drugs in outpatient and emergency department of xiangtan central hospital during the period of 2020 to 2023

作　　者：肖正林 熊艳 XIAO Zhenglin;XIONG Yan(Xiangtan Central Hospital,Xiangtan 411000,China)

机构地区：[1]湘潭市中心医院,湖南湘潭411100

出　　处：《临床医药实践》2025年第3期199-205,共7页Proceeding of Clinical Medicine

摘　　要：目的:分析湘潭市中心医院门急诊麻醉药品的使用情况,为麻醉药品的临床合理使用及科学管理提供参考。方法:利用湘潭市中心医院信息系统调取2020年-2023年门急诊麻醉药品的使用数据,对各麻醉药品的使用量、销售金额、用药频率(DDDs)、药品日均费用(DDC)及排序比(B/A)进行统计和分析。结果:门急诊麻醉药品的使用人群以肿瘤患者为主;麻醉药品的使用量和销售金额逐年增长;用药频率排名前3位的分别是盐酸吗啡缓释片、硫酸吗啡缓释片和盐酸羟考酮缓释片(10 mg);各麻醉药品的药品日均费用相对稳定,排名前3位的分别是芬太尼透皮贴、盐酸羟考酮缓释片(10 mg)和盐酸羟考酮缓释片(40 mg);而盐酸布桂嗪注射液、盐酸布桂嗪片、盐酸吗啡注射液、盐酸哌替啶注射液的排序比(B/A)连续四年等于1或接近于1,同步性好,其他药物的B/A值为0.33~2.00。2020年-2023年门急诊麻醉药品处方不合理率分别为6.8%,5.7%,5.0%和2.8%,呈逐年下降趋势。结论:2020年-2023年湘潭市中心医院门急诊麻醉药品的使用基本合理,管理质量有所提升,但仍然存在不足,今后仍需加强管控。Objective:To analyze and evaluate the use of narcotic drugs in outpatient and emergency of Xiangtan Central Hospital,and to provide reference for clinical rational use and scientific management of narcotic drugs.Methods:The data of narcotic drugs from 2020 to 2023 provided by the computer HIS system in Xiangtan Central Hospital were collected,and amount of narcotic drugs,consumption sum,drug use frequency(DDDs),drug daily cost(DDC),and sorting ratio(B/A)were statistically analyzed.Results:Patients with cancer pain were the main use crowd of narcotic drugs in hospital,and the amount of narcotic drugs used and consumption sum increased year by year.The top 3 narcotic drugs ranked by DDDs were morphine hydrochloride sustained-release tablets,morphine sulfate sustained-release tablets and oxycodone hydrochloride sustained-release tablets(10 mg).DDC of narcotic drugs were relatively stable,and the top 3 were fentanyl transdermal patch,oxycodone hydrochloride sustained-release tablets(10 mg)and oxycodone hydrochloride sustained-release tablets(40 mg).The B/A values of bucinnazine hydrochloride injection,pucinnazine hydrochloride tablet,morphine hydrochloride injection and pethidine hydrochloride injection were 1 or close to 1 in consecutively four years,indicating good synchronization,and the B/A values of other drugs were 0.33~2.0.During 2020 to 2023,the proportion of irrational prescription of narcotic drugs respectively were 6.8%,5.7%,5.0%and 2.8%.Conclusion:The use of narcotic drugs in outpatient and emergency department of xiangtan central hospital from 2020 to 2023 is basically reasonable,and the quality of management has been improved,but there are still some deficiencies,which need further efforts to strenthen the management and intervention.

关 键 词：麻醉药品 销售金额 用药频率 药品日均费用 分析 

分 类 号：R971.2[医药卫生—药品]