某院2019—2020年度麻醉药品使用情况分析

Analysis of narcotic drug use in a hospice from 2019 to 2020

目的对上海地区某宁养院2019—2020年度麻醉药品使用情况汇总,分析麻醉药品使用的规范性及合理性。方法调取某院2019—2020年麻醉药品的用药情况,计算药物的销售总金额、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。结果 2019—2020年麻醉药品消耗量最大的为吗啡,其次是羟考酮,大部分药物的B/A值≥1,日均费用前两名为盐酸羟考酮的两种规格,与B/A比小于1一致;不同剂型麻醉药品使用频次排名为贴剂、口服制剂、针剂;宁养院麻醉药品等效消耗量及金额均占门急诊麻醉药品的90%以上,宁养院次均开具麻醉药品量两年中均为非宁养院病人的6倍多,2020年较2019年有所上升,均在13DDD以上。结论宁养院麻醉药品品规结构合理,能满足癌痛患者的医疗需求,吗啡使用量呈现上升趋势。

Objective To summarize the use of narcotic drugs in a hospice from 2019 to 2020, and analyze the standardization and rationality of the use of narcotic drugs. Methods The drug consumption in a hospital from 2019 to 2020 was collected and the total sales amount, composition ratio, DDDS, DDC and B/A of the drugs were calculated. Results From 2019 to 2020, morphine was the largest narcotic drug consumption, followed by Oxycodone, most drugs had B/A value ≥1, and oxycodone hydrochloride was the first two specifications of daily average cost, which was consistent with B/A ratio less than 1 The frequency of use of different dosage forms of narcotic drugs was ranked as patch, oral preparation and injection. The equivalent consumption and amount of narcotic drugs in hospice all accounted for more than 90% of the outpatient service, in 2020, the amount of narcotic drugs prescribed by hospice was more than 6 times that of non-hospice patients in two years, and it increased from 2019 to 2020. Conclusion The structure of narcotic drugs in our hospital is reasonable and can meet the needs of patients with cancer pain. The use of morphine is on the rise.