青岛市综合性医院麻醉性镇痛药使用情况现状分析

A SURVEY ON THE UTILIZATION OF NARCOTIC ANALGESIC DRUGS IN GENERAL HOSPITALS OF QINGDAO

目的··：了解青岛市麻醉性镇痛药的使用情况。方法··：统计分析该市３家综合医院１９９８年３月的住院处方，以限定日剂量（ＤＤＤ）和药物利用指数（ＤＵＩ）为指标分析其使用情况。结果··：一个月内３家医院麻醉性镇痛药处方共计１１２８张，占处方总量的２４．１％。常用药物有哌替啶、强痛定、二氢埃托啡、吗啡和可待因。使用麻醉性镇痛药最多的科室为外科，其次是妇产科。用药病人平均年龄为４７．７ａ±ｓ１６．５ａ。总的用药率男女无明显差异，主要集中于３１－６０ａ年龄段。强痛定的ＤＵＩ为１．０８，其它４种药物的ＤＵＩ皆小于１．０。结论··：调查结果显示，该市综合性医院对麻醉性镇痛药的使用情况基本合理。

Objective: To understand the utilization of narcotic analgesic drugs in general hospitals of Qingdao. Method: 1128 prescriptions of narcotic analgesics collected from three general hospitals of Qingdao in March 1998 were analyzed. DDD and DUI for narcotic analgesic drugs were calculated as an indicator of rational drug use. Result: Occurring incidence of the prescriptions of narcotic analgesics were 24.1%;penthidine,AP-237,morphine,DHE and codeine were the common analgesics utilized. Department of Surgery used them the most, Genecology was the second. In all age groups the higher using frequency was in 31-60 year old group. The average age was 47.7 a±s 16.5 a . There was no significant difference between male and female in use. DUI of AP-237 was 1.08;others were less than one. Conclusion: The utilization of narcotic analgesic drugs in general hospitals of Qingdao was rational.