2014—2016年咸阳市中心医院麻醉药品的使用情况分析

Analysis on utilization of narcotic drugs in Xianyang Central Hospital from 2014 to 2016

目的分析咸阳市中心医院麻醉药品的使用情况,为麻醉药品合理应用提供参考。方法对2014—2016年咸阳市中心医院麻醉药品的使用量、销售金额、用药频度(DDDs)、日均费用(DDC)等进行统计分析。结果常用麻醉药品品种稳定,销售金额与构成比逐年增加;枸橼酸舒芬太尼注射液、硫酸吗啡注射液、盐酸羟考酮缓释片(10 mg)的用量、销售金额、DDDs呈较大幅度增长,盐酸哌替啶注射液、枸橼酸芬太尼注射液(0.1 mg)、盐酸麻黄碱注射液的则减少,其余品种基本未变或小幅度增长;麻醉药品的DDC基本保持不变,注射用盐酸瑞芬太尼的DDC最高,盐酸氯胺酮注射液的DDC最低。结论咸阳市中心医院麻醉药品的使用基本合理,但仍存在一些问题,需持续改进。

Objective To analyze the application of narcotic drugs in Xianyang Central Hospital, and to provide reference for rational drug use in clinic. Methods The amount, consumption sum, frequency of drug use（DDDs）, and defined daily cost（DDC） of narcotic drugs in Xianyang Central Hospital from 2014 to 2016 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, consumption sum, and DDDs of Sufentanil Citrate Injection, Morphine Sulfate Injection, Oxycodone hydrochloride Sustained-release Tablets（10 mg） significantly increased. Those of Pethidine Hydrochloride Injection, Fentanyl Citrate Injection（0.1 mg）, and Ephedrine Hydrochloride Injection were reduced, while others were stable or increased slightly. DDC of narcotic drugs were stable substantially. DDC of Remifentanil Hydrochloride for injection ranked the first, while DDC of Ketamine Hydrochloride Injection ranked the end. Conclusion The utilization of narcotic drugs in Xianyang Central Hospital is rational on the whole, but there are still some problems, which needs further efforts to strengthen the management and intervention.