2017—2018年某医院ICU病房使用麻醉药品的合理性评估

Rationality evaluation of using narcotic drugs in ICU of a hospital from 2017 to 2018

目的探究某医院ICU病房使用麻醉药品的合理性,为优化麻醉药品的管理和合理使用提供参考。方法查询2017—2018年ICU病房麻醉药品使用数据,通过用药频度(DDDs)、药品日均费用(DDC)和药品利用指数(DUI)评估麻醉药品使用合理性。结果共有8种麻醉药品的使用记录。DDDs前3位是芬太尼注射液(3500.0)、瑞芬太尼注射液(900.0)、芬太尼透皮贴剂(480.0)。DDC前3位是可待因片(900.9元)、丙泊酚(662.0元)、布桂嗪注射液(604.1元)。DUI>1有3种:芬太尼注射液(6.29)、芬太尼透皮贴剂(1.18)、瑞芬太尼注射液(4.84)。ICU疾病中,肿瘤、意外损伤和脓毒血症,仍以芬太尼注射液用量最大。结论某医院ICU病房中部分麻醉药品的使用可能存在不合理,需进一步优化麻醉药品的管理以及合理使用。

Objective To explore the rational evaluation of the use of narcotic drugs in ICU of a hospital,and to provide reference for the optimization of the management and rational use of narcotic drugs.Methods Data of the use of narcotic drugs in ICU from 2017 to 2018 were collected.The rationality of the use of narcotic drugs was evaluated by DDDs,DDC and DUI.Results There were records of using eight kinds of narcotic drugs.The top three DDDs were fentanyl injection(3500.0),remifentanil injection(900.0)and fentanyl transdermal patch(480.0).The top three DDC were codeine tablets(900.9 yuan),propofol(662.0 yuan),and buguizine injection(604.1 yuan).There were 3 kinds of DUI>1:fentanyl injection(6.29),remifentanil injection(1.18)and fentanyl transdermal patch(4.84).Among the diseases in ICU,the dosage of fentanyl injection was still the largest for tumor,accidental injury and sepsis.Conclusion The use of some anesthetics in ICU of a hospital may be unreasonable,and the management and rational use of anesthetics need to be further optimized.