2020~2022年我院麻醉药品在门、急诊使用情况分析

Analysis on the Use of Narcotic Drugs in Outpatient and Emergency Department of One Hospital from 2020 to 2022

目的了解我院2020~2022年门、急诊麻醉药品的使用情况和变化趋势,进一步规范我院麻醉药品的临床应用和管理,为我院麻醉药品的临床合理使用提供参考依据。方法收集2020~2022年我院门、急诊麻醉药品的使用种类,通过计算机管理系统调取2020~2022年门、急诊麻醉药品的使用相关数据,以用药总量、销售金额、用药人次、用药频度(DDDs)、限定日费用(DDC)及药品排序比(B/A)等为指标进行回顾性统计学分析。结果共收集门、急诊麻醉药品7种,分别是盐酸羟考酮控释片(10 mg)、硫酸吗啡缓释片(30 mg)、盐酸吗啡片(5 mg)、盐酸美沙酮片(10 mg)、芬太尼透皮贴剂(2.5 mg)、盐酸哌替啶注射液(100 mg)和盐酸吗啡注射液(10 mg)。3年间我院门、急诊麻醉药品的使用量和销售金额总体呈上升趋势,但由于疫情影响,期间也有所波动。结论我院门、急诊麻醉药品使用情况较为合理,但仍需加强药师监督,保障麻醉药品进一步安全、规范、合理使用。

OBJECTIVE To understand the use of narcotic drugs in out patient and emergency department of our hospital from 2020 to 2022,to further standardize the clinical application and management of narcotic drugs in our hospital,and to provide reference for the rational use of narcotic drugs in our hospital.METHODS From 2020 to 2022,the types of use of anesthetics in outpatient and emergency departments of our hospital were collected.The data of the use of anesthetics in outpatient and emergency departments from 2020 to 2022 were collected by computer management system.The total amount of drugs used,the amount of money sold,the number of times used,the frequency of drug use(DDDs),the limited daily cost(DDC)and the ranking ratio of drugs(B≤A)were analyzed retrospectively.RESULTS Seven kinds of intravenous and emergency anesthetics were collected,including hydroxycodone controlled release tablets(10 mg),morphine sulfate sustained release tablets(30 mg),morphine hydrochloric acid tablets(5 mg),methadone hydrochloric acid tablets(10 mg),fentanyl transdermal patch(2.5 mg),pethidine hydrochloric acid injection(100 mg)and morphine hydrochloric acid injection(10 mg).During the past three years,the use and sales amount of narcotic drugs in our hospital and emergency department showed an upward trend,but due to the influence of the epidemic situation,it also fluctuated during the period.CONCLUSION Narcotic drug use in outpatient and emergency department of our hospital is reasonable,but we still need to strengthen the supervision of pharmacists to ensure further safe,standardized and rational use of narcotic drugs.