目的 了解华中科技大学同济医学院附属协和医院肿瘤中心麻醉性镇痛药品的用药情况及用药趋势，为临床合理用药提供依据。方法 对2015-2017年华中科技大学同济医学院附属协和医院肿瘤中心麻醉性镇痛药品的用药品种、销售金额、用药频度（DDDs）、日均药费（DDC）和排序比（B/A）进行统计分析。结果 2015-2017年，麻醉性镇痛药品的销售金额逐年增加。芬太尼透皮贴剂的用量逐年下降，盐酸羟考酮缓释片的用量逐年上升，盐酸吗啡注射液、盐酸哌替啶注射液和盐酸布桂嗪注射液3种注射液的用量略有浮动，但总体用量都较少。两种规格盐酸羟考酮缓释片的销售金额一直位于第1、2位，两种规格芬太尼透皮贴剂的销售金额一直处于第3、4位。盐酸羟考酮缓释片、芬太尼透皮贴剂和硫酸吗啡缓释片的DDC值偏高，且B/A值小于或等于1.00，其他麻醉药品的DDC值均较小。结论 华中科技大学同济医学院附属协和医院肿瘤中心麻醉性镇痛醉药品的使用情况与《麻醉药品临床应用指导原则》所规定的基本相符合，但仍有必要对癌痛的规范化治疗进行培训，加强对"三阶梯治疗"相关知识的认识和理解。

Objective To investigate the use of narcotic analgesic drugs in Tumor Center of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, and to provide reference for reasonable application of narcotic analgesic drugs. Methods Statistical analysis was conducted on drug category, consumption sums, defined daily dose system (DDDs), average daily cost (DDC), and B/A values of narcotic analgesic drugs in Tumor Center of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology from 2015 to 2017. Results From 2015 to 2017, consumption sums of narcotic analgesic drugs were increased year by year. Amounts of Fentanyl Transdermal Patches were decreased year by year, while amounts of Oxycodone Hydrochloride Prolonged-release Tablets were increased year by year. Amounts of Morphine Hydrochloride Injection, Pethidine Hydrochloride Injection, and Bucinnazine Hydrochloride Injection were slightly floated, and their amounts were less. Consumption sums of Oxycodone Hydrochloride Prolonged-release Tablets with two specifications were ranked the first and second. Consumption sums of Fentanyl Transdermal Patches with two specifications were ranked the third and fourth. DDC of Oxycodone Hydrochloride Prolonged-release Tablets, Fentanyl Transdermal Patches, and Morphine Sulfate Sustained-release Tablets were high, and the B/A values of them were much less than or equal to 1.00. DDC of other narcotic drugs were all small. Conclusion The use of narcotic analgesic drugs in Tumor Center of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology is basically consistent with that stipulated in the Guiding Principles of Clinical Application of Narcotic Drugs. However, there is still a need to step up the standardization of cancer pain treatment, and to enhance understanding of the relevant knowledge of the "three-tiered cancer pain ladder".