我院门急诊麻醉药品应用分析

Analysis of Narcotic Application in Outpatient and Emergency Department of Our Hospital

目的调查医院门急诊麻醉药品的应用情况,为临床合理使用麻醉药品提供参考。方法统计2004—2006年昆明医学院第二附属医院门急诊麻醉药品处方,对麻醉药品处方数、用量、用药频度及癌症患者用药情况进行分析。结果3年中该院癌症患者使用哌替啶注射液的人次占全年癌症患者就诊人次的比例分别为49.29%,24.92%,30.21%;硫酸吗啡控释片已成为该院癌症患者止痛的首选药物。结论医院门急诊麻醉药品的使用存在一些不合理现象,应减少癌症患者哌替啶注射液的用量,正确运用癌症三阶梯止痛原则。

Objective To investigate the application of narcotic drugs used in the outpatient and the emergency department of the hospital and to provide references for rational use of narcotic drugs in clinic. Methods The narcotic prescriptions from the outpatient and the emergency department of the Second Affiliated Hospital of Kunming Medical College were selected during 2004- 2006. The consumption data, dosage, DDDs, etc of narcotic drugs were analyzed statistically. Results Of the total cancer patients from the outpatient and the emergency department,the proportion of used pethidine hydrochloride was 49.29%, 24. 92% and 30.21% respectively during 2004--2006. Sustained and controlled release preparations of morphine for oral had become the first selective analgesic for cancer. Conclusion The use of narcotic drugs in the hospital is not rational, and the usage of pethidine hydrochloride to the cancer patient should be reduced. According to the three- steo analgesic ladder orinciole for cancer.