医院麻醉药品的管理使用现状以及干预分析

Management status and intervention analysis of narcotic drugs in hospital

目的:探讨医院麻醉药品的管理使用现状以及干预分析。方法:选择我院2014年7月~2016年6月麻醉药品处方作为研究对象,选择2014年7月~2015年6月我院处方共1200张作为对照组,选择2015年7月~2016年6月处方共1200张作为观察组,观察组加强麻醉药品的管理干预,分析比较医院麻醉药品的管理现状以及干预之后的使用情况。结果:干预之前麻醉药品使用频率较高的为盐酸布桂嗪注射液、盐酸吗啡注射液和盐酸哌替啶注射液,以注射液为主,干预之后口服用药的使用频率增加,使用较高的为硫酸吗啡缓释片、盐酸吗啡注射液和盐酸羟考酮缓释片,干预前后麻醉药品处方分布发生了很大的改变,差异具有统计学意义(P<0.05);干预之后盐酸布桂嗪注射液、盐酸哌替啶注射液和盐酸吗啡注射液的DDDs值明显下降,硫酸吗啡缓释片明显上升,干预前后麻醉药品DDDs发生了很大的改变,差异具有统计学意义(P<0.05)。结论:医院麻醉药品的使用还存在不合理的情况,严格按照《处方管理办法》以及《麻醉药品和精神药品管理条例》中的规定管理使用,能够促进麻醉药品的合理使用。

Objective： to discuss the management, use and intervention analysis of narcotic drugs in hospital. Methods： from July 2014 to June 2016 in our hospital prescription of narcotic drugs as the research object, from July 2014 to June 20115 in our hospital 1200 prescriptions were selected as control group, from July 2015 to June 2016, 1200 prescriptions were as the observation group, strengthen the management of narcotic drugs in observation group during the intervention, the use of narcotic drugs after the analysis and comparison of the hospital management status and intervention. Results： before the intervention of narcotic drugs frequently used for Bucinnazine Hydrochloride Injection, Morphine Hydrochloride Injection and Pethidine Hydrochloride Injection, with the injection, intervention after oral medication use frequency increases, the use of higher for Morphine Sulfate Sustained-release Tabelets, Morphine Hydrochloride Injection and Oxycodone Hydrochloride Prolonged-release Tablets, before and after the intervention of prescription of narcotic drugs distribution changed greatly, compared with statistical significance （P〈0.05）; after the intervention, Bucinnazine Hydrochloride Injection Pethidine Hydrochloride Injection and Morphine Hydrochloride Injection＇s DDDs value decreased significantly, Morphine Sulfate Sustained-release Tabelets increased significantly, before and after the intervention of narcotic drugs DDDs changed greatly. The comparison has statistical significance（P〈0.05 ）. Conclusion： the use of narcotic drugs in the hospital there are unreasonable use of drugs, in strict accordance with the provisions of the ＂prescription management method＂ and ＂narcotic drugs and psychotropic drug management regulations＂ in the management, to promote the rational use of narcotic drugs.