2013～2014年某院住院患者麻醉性镇痛药的应用分析

Analysis of Narcotic Drugs Application in A Hospital Inpatients from 2013 to 2014

目的了解本院住院患者麻醉药品应用情况及变化趋势,为临床合理用药提供参考。方法回顾性分析本院2013~2014年住院患者麻醉性镇痛药使用情况,采用WHO推荐的限定日剂量（DDD）计算用药频度（DDDs）、日均用药金额（DDC）,由此讨论麻醉性镇痛药的管理。结果两年内本院供应的麻醉药品共涉及8个品种11个品规,总的DDDs保持平稳,除羟考酮缓释片DDDs下降,吗啡缓释片和芬太尼贴剂、舒芬太尼注射液DDDs上升,其余药品略有波动。DDC除吗啡缓释片下降外,其余基本保持稳定。结论新形势下,医院应不断加强麻醉药品管理,保障患者用药安全。

OBJECTIVE To investigate the application and tendency of narcotic drugs in the hospital inpatients and provide reference for rational drug application in clinic.METHODS The application of narcotic drugs in the hospital inpatients from 2013 to 2014 was analyzed retrospectively.The DDDs and the daily drug cost（DDC） were calculated by defined daily dose（ DDD）recommended by WHO.RESULTS During the 2 years,the narcotic drugs in the hospital involved 8 varieties and 11 dosage forms.The total DDDs had little changes,while DDDs of Oxycodone sustained release tablets（SRT） declined and DDDs of morphine SRT,fentanyl transdermal patch and sufentanil injection raised.The narcotic drugs daily cost remained stable except that morphine SRT declined.CONCLUSION The management of narcotic drugs should be strengthened to ensure medication safety in the new period.