1999～2001年长宁区中心医院门急诊肿瘤病人麻醉药品用药分析

Analysis of analgesics used for treatment of patients with cancer pain in the ou tpatient and emergency department of Changning District Central Hospital during the period 1999-2001

目的 :分析我院 1999～ 2 0 0 1年门急诊肿瘤病人使用麻醉药品的状况、问题及趋势。方法 :调查近 3年我院门急诊麻醉药品处方的一般情况、肿瘤病人使用情况、使用金额、使用频度等并进行分析。结果 :治疗晚期癌症病人癌痛的麻醉药品年用药金额呈逐年递增趋势 ,2 0 0 1年的费用是 1999年的 4.68倍。而 2 0 0 1年的药品使用频度和病人数量分别是 1999年的 2 .82倍和 2 .13倍。3年来每年用药的频度排序有所不同。结论 :应减少哌替啶的应用 ,推荐晚期肿瘤病人首选吗啡控释片止痛。

Objective: To investigate the current situati o n, problems and trend of using analgesics for treatment of patients with cancer pain in outpatient and emergency department of our hospital.Methods: Analgesic prescriptions for the cancer and non-cancer patients were su rveyed. The analgesics used for cancer patients in the outpatient and emergency departments, sum of money spent and defined daily dose(DDDs) were analyzed. Results: The money spent on analgesics for cancer pain was increased year by year, and the sum of money for analgesics used in 2001 was 4.68 times a s much as that in 1999. DDDs and the number of patients in 2001 were 2.82 times and 2.13 times as much as those in 1999,respectively.The orders of DDDs were di fferent in these 3 years. Conclusion: Cancer patients should use less pethidine and controlled-release morphine is the drug first choice.