2004～2006年某部队医院住院患者麻醉药品使用调查分析

Investigation and analysis of narcotic drug application for inpatients in an army hospital from 2004 to 2006

目的:分析我院麻醉药品应用现状和发展趋势,为临床合理用药提供参考。方法:以限定日剂量(DDD)法,统计我院住院药房2004～2006年麻醉药品的用药数量、消耗金额及用药频度(DDDs)等数据,以药物利用指数(DUI)为指标,分析临床应用情况。结果:我院麻醉药品使用数量及消耗金额逐年增加,芬太尼注射液的用药频度连续3年居第一,临床缓解肿瘤疼痛首选为芬太尼透皮贴剂。结论:我院临床科室麻醉药品使用基本符合WHO倡导的癌症三阶梯止痛原则,符合麻醉药品用药及管理的发展趋势,用药基本合理。

Objective： To investigate the application and and developing tendency of the narcotics in our hospital so as to provide reference for the rational use of drugs . Method： Based on DDD methods, the date including DDDs, the amount and money of drug consumption of narcotics used in the dispensary for inpatients of our hospital from 2004 to 2006 was collected and analyzed; We also analyzed it＇s utilization situation in the clinical division according to the drug utilization index （DUI）. Result： The amount and money of narcotics used in our hospital increased year by year ; The DDDs of Fentanyl injection possessed first for three years, Fentanyl transdermal patch was the first choice for the pain relieve of tumor. Conclusion ： The application of narcotic drugs in our hospital accorded with the principal of three step therapy for pain relieve of cancer advocated by WHO, also met with the developing trends of narcotic utilization and management, so the application of narcotic drugs in our hospital was generally rational .