2018~2020年某院癌痛患者麻醉药品使用情况分析

Analysis of narcotic drug use in cancer pain patients in a hospital

目的对肿瘤科病房麻醉药品使用情况进行统计及分析,为癌痛患者合理使用麻醉药品提供依据及指导。方法对2018~2020年麻醉药品使用量、消耗金额、用药频度(DDDs)、排序比(B/A)、日均费用(DDC)进行统计分析。结果癌痛患者可待因片、盐酸吗啡片(5 mg、10 mg)、硫酸吗啡缓释片(10 mg、30 mg)、羟考酮缓释片(10 mg、40 mg)、芬太尼透皮贴剂使用量、消耗金额逐年增加;羟考酮缓释片(10 mg、40 mg)、可待因片使用频率高,布桂嗪片、布桂嗪注射液、哌替啶注射液使用频率低;吗啡缓释片(10 mg、30 mg)使用率低而价格高,可待因片使用率高而价格低;羟考酮缓释片(10 mg、40 mg)患者经济负担重。结论癌痛患者麻醉药品使用基本合理,但仍存在不足之处,需要进一步改进。

Objective To make statistics and analysis on the use of narcotic drugs in oncology ward for provide basis and guidance for the rational use of narcotic drugs in patients with cancer pain.Methods The Quantity used,consumption amount,Defined Daily Doses(DDDs),ranking ratio(B/A)and Defined Daily cost(DDC)of narcotic drugs in 2018~2020 were statistically analyzed.Results The consumption of codeine tablets,morphine hydrochloride tablets(5 mg,10 mg),morphine sulfate sustained-release tablets(10 mg,30 mg),oxycodone sustained-release tablets(10 mg,40 mg)and fentanyl transdermal patch in patients with cancer pain increased year by year;Oxycodone sustained-release tablets(10 mg,40 mg)and codeine tablets were used more frequently,while buguizine tablets,buguizine injection and pethidine injection were used less frequently;Morphine sustained-release tablets(10 mg,30 mg)have low utilization rate and high price,while codeine tablets have high utilization rate and low price;Oxycodone sustained release tablets(10 mg,40 mg)have a heavy economic burden on patients.Conclusion The use of narcotic drugs in patients with cancer pain is basically reasonable,but there are still deficiencies,which need to be further improved.