[关键词]
[摘要]
目的 对西安国际医学中心医院麻醉性镇痛药的临床应用情况进行分析,为医疗机构麻醉性镇痛药的规范化管理和临床合理用药提供参考和依据。方法 采用回顾性分析方法,从医院管理信息系统(HIS)中调取2019年9月-2020年9月全院麻醉性镇痛药的使用数据,对其消耗量、使用金额、用药频度(DDDs)、限定日费用(DDC)、排序比(B/A)和各专科医院使用量等进行统计分析。结果 盐酸羟考酮缓释片(10 mg)、盐酸羟考酮缓释片(40 mg)的消耗量位居前2位。注射用盐酸瑞芬太尼(1 mg)、枸橼酸舒芬太尼注射液的使用金额、DDDs均位居前2位,且B/A均等于1.00,其使用金额与用药频度同步性良好,经济效益与社会效益一致。芬太尼透皮贴剂(4.2 mg)日均费用最低,患者经济负担较小。盐酸氢吗啡酮注射液日均费用最高,患者经济负担较大。本院麻醉性镇痛药的使用量位居前3位的机构依次是肿瘤医院、麻醉手术中心和胸科医院。肿瘤医院麻醉性镇痛药使用量占全院总使用量的49.54%。结论 西安国际医学中心医院麻醉性镇痛药品规齐全,能够满足临床需求,应用基本合理。
[Key word]
[Abstract]
Objective To analyze the clinical application of narcotic analgesics in Xi'an International Medical Center Hospital, to provide reference and basis for the standardized management and rational clinical use of narcotic analgesics. Methods By retrospective survey, the utilization of narcotic analgesics in the hospital during September 2019-September 2020 from HIS were extracted, and the usage, consumption sum, defined daily doses (DDDs), defined daily cost (DDC), drug sequence ratio (B/A) and the use amount of various specialized hospital were analyzed statistically. Results The consumption amount of Oxycodone Hydrochloride Prolonged-release Tablets (10 mg, 40 mg) ranked the top two. The consumption sum and DDDs of Remifentanil Hydrochloride for injection and Sufentanil Citrate Injetion ranked the first 2 places, the value of B/A were 1.00. The consumption sum and drug frequency had good synchronization, and the economic benefit was consistent with the social benefit. The average daily cost of fentanyl transdermal patch (4.2 mg) was the lowest, and the financial burden of patients was relatively small. On the contrary, the daily cost of hydromorone hydrochloride injection was the highest. The use of narcotic analgesics ranked the top three, in sequences, were the tumor hospital, the anesthesia operation center and the chest hospital. The use of narcotic analgesics in tumor hospitals accounted for 49.54% of the total usage of the hospital. Conclusion The variety and dosage form of narcotic analgesics in Xi'an International Medical Center hospital could meet the clinical needs and their applications were basically reasonable.
[中图分类号]
R971
[基金项目]
广西教育厅科研项目(2017KY0346)