摘要
目的:调查和分析永康市第一人民医院癌痛示范病房“三阶梯”止痛药物的临床应用情况,为临床合理使用癌痛治疗药物提供参考。方法通过该院医院信息管理系统(HIS 系统),统计分析该院2014年1月至2015年12月癌痛病房癌痛治疗药物的应用数据。结果该院癌痛治疗药物金额占比以第三阶梯药物为主,根据用药频度(DDDs)排序,塞来昔布>曲马朵缓释片>羟考酮缓释片>吗啡缓释片>芬太尼透皮贴剂,塞来昔布多用于辅助用药;曲马朵缓释片金额占比和 DDDs 下降,符合目前美国国家综合癌症网络(NCCN)指南弱化二阶梯药物趋势;第三阶梯主要以羟考酮缓释片为主,金额占比和 DDDs 呈增长趋势。2014年麻醉处方合格率为93.5%、癌痛治疗病历合格率为80.5%,2015年麻醉处方合格率提高至97.5%,病历合格率提高至91.5%。结论该院癌痛病房癌痛治疗药物使用情况基本规范,遵循口服给药、按阶梯用药、按时给药、个体化给药的原则。
Objective To investigate and analyze the application of three steps therapy analgesics in good pain management(GPM)-ward,in order to provide rational analgesics drug application in clinical practice.Methods Through the hospital HIS system,the application data of analgesics in GPM-ward from Jan.2014 to Dec.2015 were collected and analyzed.Results The sum and proportion of the strong opioid drug was lined first.The total DDDs of the three -stage analgesics ranked from high to low was celecoxib 〉tramadol 〉oxycontin 〉morphine 〉fentanyl trans-dermal.The celecoxib was usually assisted the other;in addition,tramadol's DDDs and expense amount decreased, which was in the line with NCCN guidelines.Moreover,oxycontin's DDDs and expense amount increased.As well as, anesthesia prescription qualified rate was 93.5%,medical record standard rate was 80.5% in 2014,prescription qual-ified rate was rose to 97.5%,medical record standard rate was rose to 91.5% in 2015.Conclusion The application of cancer pain drug was basically rational in GPM-ward,which is in line with the principles of cancer pain relief "by the mouth,by the clock,by the ladder and for the individual".
出处
《中国基层医药》
CAS
2016年第13期1946-1950,共5页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省医学会临床科研基金项目(2015ZYC-A95)
关键词
止痛药
癌
用药频度
Analgesics
Cancer
Frequency of use