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某县级综合医院麻醉镇痛药物临床应用分析

Analysis of the clinical application of narcotic drugs in a county hospital

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目的:调查、分析某县级综合医院麻醉镇痛药物临床应用情况,为合理应用提供依据。方法:对某县级综合医院2010-2012年麻醉镇痛药物使用数量、消耗金额、DDD s及DDC进行统计分析。结果:3年中该院麻醉镇痛药物年销售金额分别为17.1050万元、28.3398万元、35.8552万元,注射剂占总年销售额的89.56%、95.27%、95.88%,用药频度(DDDS)居前3位的分别是盐酸瑞芬太尼、丙泊酚注射、盐酸哌替啶注射液。结论:该院麻醉镇痛药物临床应用不合理,癌症镇痛麻醉药物给药方式肌注多于口服,连续使用存在超剂量不合理现象,麻醉镇痛药物临床处方应遵循以硫酸吗啡缓释片等口服剂作为晚期癌症患者的首选止痛药应用,对重度疼痛患者应选用强阿片类药物±非阿片类药物±辅助药物联合用药。
OBJECTIVE To investigate, analysis the clinical application of narcotic drugs in a county hospital, to provide a basis for reasonable application. METHODS: to analysis the statistical data of the use, consumption amount, DDDs, and DDC of narcotic drugs in a county hospital in 2010-2012. RESULTS: the annual consumption amounts of narcotic drugs in recent 3 years are 17.1050,28.3398,35.8552 Mil ion yuan respectively, and the injection drugs account for 89.56%, 95.27%, 95.88%. The top 3 Defined Daily Dose (DDDs) are Remifentanil Hydrochloride, Propofol Injection and Pethidine Hydrochloride Injection. CONCLUSION: the clinical application of narcotic drugs in the hospital is unreasonable, in the medication way of cancer narcotic drugs injection is more than oral intake, continuous overdose exists. The clinical prescription of narcotic drugs should fol ow the rule that taking oral intakes like Morphine Sulfate Sustained-release Tabelets as the first choice of analgesic drugs, and choose strong opioid +/- nonopioid analgesics +/- aided drugs for patients with severe pains.

narcotic drugsapplication analysisDDDsmanagement countermeasures

郑君安、沈典武、李德顺

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湖北省孝昌县第一人民医院 432900

湖北中医药大学 430065

麻醉镇痛药物 应用分析 用药频度 管理对策

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(9)
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