我院住院患者麻醉药品使用情况分析

Analysis on the use of narcotic drugs for inpatients

目的调查分析我院住院患者麻醉药品的使用情况,为临床规范、合理使用麻醉药品提供参考。方法对麻醉药品处方数、用量、金额进行计数统计分析;筛选病区患者麻醉药品处方,根据剂型、诊断、处方数等进行排序,分析麻醉药品的使用情况。结果 2016—2019年麻醉药品处方中,注射剂型处方最多,分别为:15 820张(61.4%)、1 5 813张(61.5%)、16 682张(64.7%)、17 293张(71.5%);口服和外用剂型使用较少;盐酸哌替啶注射液处方数虽逐年减少但均在各年前列,分别为:8 009张(31.1%)、7 707张(30.0%)、7 151张(27.7%)、6 844张(28.3%);盐酸哌替啶注射液处方诊断最多的为癌症和慢性胰腺炎。结论我院麻醉药品使用还存在麻醉药品剂型选择不合适、盐酸哌替啶注射液使用不适宜等不合理的情况,医生在缓解患者中、重度疼痛时使用的麻醉药品以注射给药为主,药师应加强麻醉药品处方的审核,提高麻醉药品使用的规范性和合理性。

Objective To investigate and analyze the inpatient use of narcotic drugs, provide reference for clinical norms and rational use of narcotic drugs. Methods The narcotic prescription number, usage and cost were analyzed statistically. The inpatient narcotic use was analyzed by screening the dose form, indication, and dosage. Results The injections topped the list of narcotic prescriptions from year 2016 to 2019 with 15 820(61.4%), 15 813(61.5%), 16 682(64.7%) and 17 293(71.5%)prescriptions respectively. The oral and topical narcotic drugs were less prescribed. Although pethidine hydrochloride injection prescriptions decreased year by year, it still topped in the narcotic use with 8 009(31.1%), 7 707(30.0%), 7 151(27.7%) and 6 844(28.3%) prescriptions each year. Pethidine hydrochloride injection was mostly used for patients with cancer and chronic pancreatitis.Conclusion Doctors preferred to use injectable narcotics for patients with moderate to severe pain. Improper use of narcotic drugs was noticed, such as unsuitable choice of dose form, inappropriate use of pethidine hydrochloride injection, etc. Pharmacists should keep vigilant in prescription review and medication intervention for narcotic drugs to improve the standardization and rational use of narcotics.