综合医院疼痛门诊镇痛治疗及用药情况

Analysis of analgesic medication in pain clinic of general hospital

目的了解医院各类镇痛药物的应用现状,为临床合理使用镇痛药物提供参考。方法利用医院信息系统收集2019年7月至2020年6月疼痛门诊接受疼痛治疗患者的基础信息,分析统计处方信息情况,主要包括性别、年龄、诊断以及用药情况等。结果通过对2868例患者基础信息分析发现,镇痛和/或辅助性镇痛药物处方数量与年龄、疼痛分类有关(P<0.05),与性别无明显关系(P>0.05)。根据药理作用对镇痛药和/或辅助性镇痛药进行分类和统计分析,镇痛和/或辅助性镇痛药物中非甾体抗炎药、血管活性药物及肌肉松弛剂使用占总处方数量的79.65%,其中乙哌立松、依托考昔及美洛昔康使用频次较高;癌性疼痛、神经病理性疼痛和腰痛及下肢疼痛所需费用较高,分别为(301.41±557.74)、(107.01±159.52)和(97.13±72.99)元。不同的镇痛治疗方案均可获得较好的疼痛缓解率,且差异无统计学意义(P>0.05)。结论我院疼痛门诊镇痛和/或辅助性镇痛药物选择较为合理,就诊疼痛门诊的患者通过综合治疗或镇痛药物单独使用均可获得较好的镇痛治疗效果。

AIM To understand the application status of various analgesics in order to provide reference for rational medication in pain clinic.METHODS The basic information of patients receiving pain treatment in the pain clinic from July 2019 to June 2020 was collected by using the hospital information system,and the prescription information was analyzed and statistically analyzed,including gender,age,diagnosis and medication,etc.RESULTS By analyzing the basic information of 2868 patients,it was found that the number of analgesic and/or auxiliary analgesic drugs was related to age and pain classification(P<0.05),but had no significant relationship with gender(P>0.05).Analgesic and/or auxiliary analgesic drugs were classified and statistically analyzed according to pharmacological effects.It was found that the use of non-steroidal anti-inflammatory drugs,vasoactive drugs and muscle relaxants accounted for 79.65%of the total number of prescriptions.Statistical analysis of the frequency of analgesic and auxiliary analgesic drugs showed that the frequency of eperisone,etocroxy and meloxicam was the highest.The results showed that cancer pain,neuropathic pain,low back pain and lower limb pain had the highest cost,which were(301.41±557.74),(107.01±159.52)and(97.13±72.99)yuan,respectively.There was no significant difference in the pain relief rate among the three pain treatment schemes(P>0.05),and better pain relief rate could be obtained by different analgesic treatment schemes.CONCLUSION The selection of analgesic and/or auxiliary analgesic drugs in the pain outpatient department of our hospital is reasonable.Patients visiting the pain outpatient department can obtain better analgesic treatment effect through comprehensive treatment or using analgesic drugs alone.