我院麻醉性镇痛药应用情况分析

Analysis of the usage of narcotic analgetics in our hospital

目的对医院2002年门诊麻醉性镇痛药使用情况进行统计分析,以加强麻醉性镇痛药的合理使用,最大限度地减轻患者的痛苦.方法以WHO推荐的限定日剂量(DDD)、药物利用指数(DUI)为指标评价麻醉性镇痛药的应用是否合理.结果哌替啶(度冷丁)在用于癌症止痛时DUI=1.181,其他麻醉性镇痛药应用基本合理.结论度冷丁在用于癌症止痛时存在不合理现象,应严格按照WHO推荐的三阶梯用药方案来治疗癌症疼痛.

OBJECTIVE To evaluate the usage of narcotic analgetics in our hospital. METHODS The amount of narcotic analgetics used in this hospital during the period of 2000 ～ 2003 and all prescriptions of narcotic analgetics during Oct. 2003 ～Sep. 2004 were analyzed. RESULTS The sum of use of pethidine hydrochloride injection was still high. DUI of four primary drugs was not more than 1. CONCLUSION The usage of narcotic analgetics is basically reasonable. Some prescriptions are not standard, and the individual medication needs to be improved more.