目的 分析武警特色医学中心除痛病历使用后门诊麻醉药品的使用情况。方法 利用除痛病历详细记录患者及代办人身份信息，诊断证明，每次开具的药品的数量、批号以及处方医师和调剂、核对药师的信息特点，对2019年门诊药房1~6月7~12月以及2018年7~12月麻醉药品的用量、销售金额、用药频度（DDDs）、日均药费（DDC）进行统计和分析。结果 使用除痛病历后麻醉药品的总销售金额及占比明显下降；除羟考酮缓释片DDDs值有增长趋势之外，其他麻醉药品DDDs值都有所下降；吗啡缓释片（10 mg）在使用除痛病历后DDD_S排序呈上升趋势；麻醉药品的DDC基本稳定不变。各麻醉药品的B/A值略有变动其数值接近于1.00。结论 除痛病历使用后门诊麻醉药品的使用合理性得到了进一步提高。

Objective To analyze the application of narcotic drugs in outpatients of a hospital after using pain-relief medical record. Methods The characteristics of pain-relief medical record are used to record the identity information of patients and agents, the quantity and batch number of drugs and information of doctor, pharmacist. The data of usage amount, sales amount, defined daily doses (DDDs), and daily drug cost (DDC) of narcotic drugs in outpatient pharmacy during January to June, July to December 2019 and July to December, 2018 were collected for statistical analysis. Results The total sales amount of narcotic drugs and its proportion decreased significantly after using pain-relief medical record. The DDDs value of other narcotic drugs were decreased except oxycodone sustained release tablets showing an increasing trend. The DDDs level of morphine sustained release tablets (10 mg) was on the rise. The DDC of narcotic drugs was basically stable. The B/A value of narcotic drugs has a slightly difference and close to 1.00. Conclusion The application of pain-relief medical record has further improved the rationality of narcotic drugs usage in outpatients.

R971

天津市自然科学基金资助项目（15ZXLCSY00040）