2013—2015年天津市人民医院麻醉药品的使用情况分析

Analysis on use of narcotics drugs in Tianjin People's Hospital from 2013 to 2015

目的分析天津市人民医院麻醉药品的使用情况。方法对2013—2015年天津市人民医院麻醉药品的用量、销售金额、用药频度(DDDs)、日均药费(DDC)进行统计和分析。结果天津市人民医院麻醉药品的品种稳定,总销售金额和构成比均逐年增加;芬太尼透皮贴、盐酸羟考酮缓释片、注射用盐酸瑞芬太尼用量、销售金额、DDDs呈较大幅增长趋势,盐酸哌替啶注射液、盐酸布桂嗪片、盐酸氯胺酮注射液则减少,其余则基本不变或小幅加减;硫酸吗啡缓释片的DDDs持续居第1位,盐酸氯胺酮注射液DDDs居末位;麻醉药品的DDC基本稳定不变,注射用盐酸瑞芬太尼DDC最高,盐酸氯胺酮注射液最低。结论天津市人民医院麻醉药品的应用基本合理,但仍存在一些问题,需持续改进。

Objective To investigate the usage of narcotics drugs in Tianjin People’s Hospital. Methods The amount, consumption sum, frequency of drug use （DDDs） and defined daily cost （DDC） of narcotic drugs in Tianjin People’s Hospital from 2013 to 2015 were calculated and analyzed. Results The main kind of narcotic drugs remained stable, and the consumption sum and constituent ratios increased year by year. The utilization and consumption sum and DDDs of Fentanyl Transdermal Patches, Oxycodone Hydrochloride Prolonged-release Tablets, and Remifentanil Hydrochloride for Injection significantly increased, Pethidine Hydrochloride Injection, Bucinnazine Hydrochloride Tablets, and Ketamine Hydrochloride Injection reduced, while others were stable or increased slightly. DDDs of Morphine Sulfate Sustained Release Tablets ranked the first persistently, and Ketamine Hydrochloride Injection ranked the end. DDC of narcotic drugs were stable substantially. Remifentanil Hydrochloride for Injection ranked the first, while Ketamine Hydrochloride Injection ranked the end. Conclusion The utilization of narcotic drugs in Tianjin People’s Hospital is rational on the whole, but there are still some problems, which needs further efforts to strengthen the management and intervention.