2012—2014年吉林大学中日联谊医院麻醉药品的使用情况分析

Analysis on usage of narcotic drugs in China-Japan Union Hospital of Jilin University during 2012—2014

目的了解吉林大学中日联谊医院麻醉药品的应用情况及用药趋势,为临床合理用药提供参考。方法对吉林大学中日联谊医院2012—2014年麻醉药品的用药金额、使用量、用药频度(DDDs)、日均药费(DDC)等情况进行统计分析。结果麻醉药品的销售金额和构成比逐年增加;口服剂型的使用量逐年增长,且增长速度快;外用剂型的使用量变化不大,有小幅下降趋势。芬太尼注射液、舒芬太尼注射液、盐酸吗啡缓释片及盐酸羟考酮缓释片(10 mg)的DDDs位列前4位,盐酸羟考酮注射液、舒芬太尼注射液、注射用盐酸瑞芬太尼、芬太尼透皮帖剂的DDC位列前4位。结论吉林大学中日联谊医院麻醉药品的应用基本合理,但仍有不足之处,有待进一步加强干预和管理。

Objective To investigate the usage and trend of narcotic drugs in China-Japan Union Hospital of Jilin University, so as to provide reference for clinical rational use of narcotic drugs.Methods The usage amount, consumption sum, defined daily doses （DDDs）, and daily drug cost （DDC） of narcotic drugs in China-Japan Union Hospital of Jilin University from 2012 to 2014 were analyzed statistically.Results The consumption sum and constituent ratio of narcotic drugs increased year by year. The usage amount of oral narcotics increased year by year with high speed. The usage amount of external formulation had a little change, and had a trend of slight decline. DDDs of Fentanyl Injection, Sufentanil Citrate Injection, Morphine Hydrochloride Sustained-release Tablets, and Oxycodone Hydrochloride Prolonged-release Tablets （10 mg） took up the top 4. Oxycodone Hydrochloride Injection, Sufentanil Citrate Injection, Remifentanil Hydrochloride for Injection, and Fentanyl Transdermal Patch ranked the top 4 in the list of DDC. Conclusion The use of narcotic drugs in China-Japan Union Hospital of Jilin University is basically reasonable, but there are also some deficiencies, which need further efforts to strengthen the intervention and management.