门诊麻醉药品和第一类精神药品处方的使用分析

Analysis of the utilization of narcotic drugs and first class psychotropic drugs in outpatient department of our hospital

对我院门诊麻醉药品和第一类精神药品使用情况汇总,分析医院对特殊药品使用的规范性及合理性。调取我院2015-2019年目标药品的用药信息,计算不同药物的销售总金额、构成比、用药频度(DDDs)、日均费用(DDC)、排序比(B/A)等,对结果进行统计分析。2015-2019年门诊的麻醉药品和第一类精神药品处方中,癌症相关诊断处方占比较大。药品销售总金额自2017年逐年上升,盐酸羟考酮缓释制剂位居榜首,且DDDs常年排序第一。芬太尼透皮贴剂的DDDs逐年下降,B/A常年<1。吗啡普通片的DDC相对于缓释制剂高,B/A常年<1。阿桔片、可待因在临床的使用倾向性开始升高。我院门诊麻醉药品及第一类精神药品使用基本合理,但仍需继续严格管理。

To analyze the use of narcotic drugs and the first class psychotropic drugs in our outpatient department,in older to further improve the standardization and rationality of the use of these drugs in our hospital.the medication information of target drugs in our hospital from 2015 to 2019 were collected,the total sales amount,composition ratio,daily defined doses(DDDs),daily mean cost(DDC)and sequence of consumption sum/sequence of DDDs(B/A)of different drugs were calculated,and statistical analysis on the results was performed.In 2015-2019,cancer-related diagnosis prescriptions accounted for a large proportion of outpatient prescriptions.The total amount of drug sales has increased year by year since 2017,with oxycodone hydrochloride sustained-release preparation ranking first and DDDs ranking first all the year round.DDDs of fentanyl transdermal patch decreased year by year,and B/A was less than 1.The DDC of common morphine tablets was higher than that of sustained-release preparations,and B/A was less than 1 year round.The clinical use tendency of compound platycodon tablets and codeine began to increase.The use of narcotic drugs and first class psychotropic drugs in outpatient department of our hospital is basically reasonable,but we still need to strictly manage them.