2012～2014年某医院麻醉用药合理性分析

Reasonable analysis of anesthesia drugs in certain large hospital from 2012 to 2014

目的分析某医院麻醉用药是否合理,提出合理用药建议。方法根据总金额排序找出销售金额位于前两位的麻醉用药,再对其限定日剂量DDD、用药频度DDDs、日均费用DDC进行分析。结果某院麻醉用药的总金额呈逐年上升的趋势。静脉麻醉药和镇痛药位于麻醉用药金额排序的前2位。结论静脉麻醉药和镇痛药的临床应用基本合理,部分用药尚存在不合理之处,亟待干预,以促进临床合理用药。

Objective To analyze whether the use of anesthesia drugs was reasonable at a hospital and raise rationalization suggestions. Methods To find out two kinds of anesthetic drugs according to the sales amount. The content included the amount of medication,defined daily dose（ DDD）,medication frequency（ DDDs）,defined daily cost（ DDC）. Results There was an upward trend of the sales amount at a hospital. Intravenous anesthetics and analgesics located in the forefront of the sales amount line. Conclusion Most clinical applications of intravenous anesthetics and analgesics were reasonable. A few unreasonable applications needed to intervene,in order to promote clinical rational drug use.