门诊癌痛患者应用镇痛药物的合理性评价与分析

Evaluation and Analysis of the Rationality of Analgesic Drugs Used in Outpatients with Cancer Pain

目的:对我院门诊癌痛患者应用镇痛药物的情况进行评价与分析,为镇痛药的合理使用提供参考。方法:提取2019年门诊癌痛患者药物处方,分析镇痛药的应用情况并对处方进行点评。结果:收集处方1463张,发现门诊癌痛患者中肺癌所占比例最高,为40.81%,其次为食道癌(8.07%)、乳腺癌(7.66%)。应用最多的镇痛药物为盐酸吗啡片,其次是盐酸羟考酮缓释片(10mg),而用药频度(DDDs)排名第一的是盐酸羟考酮缓释片(40mg)。镇痛药剂型共4类,包括口服剂型、注射剂型、栓剂及贴剂。不合理处方数占11.48%。结论:我院用于治疗癌痛的镇痛药物在用药种类、剂型上配备合理,但存在一定数量的不合格处方。

Objective:To evaluate and analyze the use of analgesics in outpatients with cancer pain in our hospital, so as to provide reference for the rational use of analgesics. Methods: The prescriptions of cancer pain patients in the outpatient department in 2019 were extracted, the application of analgesics was analyzed and the prescription was commented. Results: After collecting 1 463 prescriptions, lung cancer accounted for the highest proportion(40.81%), followed by esophageal cancer(8.07%) and breast cancer(7.66%). Morphine hydrochloride tablets were the most widely used analgesic drugs, followed by oxycodone hydrochloride sustained-release tablets(10 mg), and oxycodone hydrochloride sustained-release tablets(40 mg) ranked first in DDDs. There are four types of analgesic drugs, including oral dosage form, injection type, suppository and patch. The number of irrational prescriptions accounted for 11.48%. Conclusion: The types and dosage forms of analgesic drugs for cancer pain in our hospital are reasonable, but there are some unqualified prescriptions.