中国药物警戒 ›› 2013, Vol. 10 ›› Issue (7): 419-420.

• 药械安全性研究 • 上一篇    下一篇

我院2011~2012年门诊癌症患者麻醉药品使用分析

左拥军,李永兵   

  1. 濮阳市人民医院,河南濮阳 457000
  • 收稿日期:2013-04-15 修回日期:2016-03-09 出版日期:2013-07-08 发布日期:2016-03-09
  • 作者简介:左拥军,男,主管药师,药品管理。

Analysis of Narcotic Drug Use for Outpatients with Cancer at Our Hospital from 2011 to 2012

ZUO YONG-jun ,LI YONG-bing   

  1. Puyang People's Hospital, Hennan Puyang 457000, China
  • Received:2013-04-15 Revised:2016-03-09 Online:2013-07-08 Published:2016-03-09

摘要: 目的 了解我院门诊癌症患者麻醉药品的使用情况,为临床合理用药提供参考依据。方法统计2011~2012 年我院门诊癌症患者麻醉药品的用药金额、用药天数、限制日剂量(DDD)、用药频度(DDDs)、日均费用(DDC)、药物利用指数(DUI)等,分析其用药情况。结果门诊癌痛患者使用麻醉药品的性别差异较大,男性多于女性,老年患者明显高于其他年龄段患者;总金额居前3 位的是吗啡缓释片、羟考酮缓释片、吗啡注射液;DDDs 居前3 位的分别为吗啡缓释片、吗啡注射液、羟考酮缓释片;DUI>1 的药品有吗啡缓释片、吗啡注射液、盐酸布桂嗪注射液、盐酸哌替啶注射液;DDC 最高的为羟考酮缓释片,其次为吗啡缓释片、吗啡注射液。结论我院门诊癌症患者镇痛用药基本符合卫生部“癌症病人三级梯止痛疗法的指导原则”,但仍有一些问题,有待进一步改善提高。

关键词: 麻醉药品, 癌痛, 用药频度, 药物利用指数

Abstract: Objective To evaluate the narcotic drug use in treatment of severe cancer pain at our hospital, and to provide reference for clinical rational use of drugs. Methods The information of narcotic drugs for outpatients at our hospital was collected from 2011 to 2012. The content included the amount of medication, medication days, defined daily dose (DDD), medication frequency, defined daily cost (DDC), drug utilization index (DUI). Results The first place of the amount of medication and DDDs was morphine sustained -release tablet. Drugs of DUI >1 were morphine sustained-release tablet, morphine injection, bucinnazine hydrochloride injection and pethidine hydrochloride injection.The highest DDC drug was hydroxyl oxycodone sustained -release tablet. Conclusion The use of three -step analgesic ladder for outpatients with cancer at our hospital was fundamentally rational, yet there are some problems to be solved.

Key words: narcotic drugs, cancer pain, DDDs, DUI

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