门诊麻醉药品应用情况分析

Analysis of narcotics used in OPD

目的 分析某三级乙等综合性医院门诊麻醉药品的使用情况。方法 收集门诊2003年1月～2004年12月的麻醉药品处方4823张，对麻醉药品消耗和限定日剂量（DDD）为指标进行分析与排序。结果 处方数最多，用药频度（DDDs）及量最大的均是哌替啶注射液，部分处方用药不妥。结论 门诊部分麻醉药品处方应用不合理，应积极推广“癌症三级止痛阶梯疗法的指导原则”。

Aim To evaluate the use of narcotics in the one OPD （out-patient department） of Zhuji City＇s general hospitals. Methods 4823 pieces of narcotics prescription in the OPD, from January 2003 to December 2004, were collected and the amount of narcotics consumption were analyzed and sorted out in sequence as the DDD （daily determinative dosage）. Results Among all the narcotics examined, the pethidine injection ranked first for its largest amount of prescription,highest frequency of use and maximum of the DDDS. In addition, impropriety exists partially in prescribing narcotic drugs. Conclusion As prescription drugs,parts of the narcotics used in this OPD were improper. It is necessary to actively popularize the guiding principle of “the three-step-ladder therapy for relieving pain from cancer”.