目的 分析2018—2019年徐州市肿瘤医院门诊患者麻醉药品的使用现状，为规范合理使用镇痛药物提供参考。方法 收集徐州市肿瘤医院2018—2019年的门诊麻醉处方共2 893张。对麻醉药品的用药品种、使用科室、使用患者年龄、用药频度（DDDs）、药物利用指数（DUI）等进行分析。结果 2018—2019年门诊麻醉药品共6个品种8个规格。阿桔片、盐酸布桂嗪片、盐酸羟考酮缓释片（10 mg）的处方数比较多。使用麻醉药品最多的科室为放疗科、化疗科和呼吸科，患者年龄主要为50～79岁。在癌痛治疗第三阶梯用药中，盐酸吗啡缓释片的DDDs最高，且DUI更接近于1。盐酸羟考酮缓释片（10 mg）的销售金额最多。结论 徐州市肿瘤医院门诊麻醉药品的使用基本合理，但医生还需要对麻醉药品的用药频次和用药时间范围进一步的学习，药师也要加强这方面的业务素质并及时给予合理的干预，以促进肿瘤患者的个体化用药。

Objective To analyze the current situation of the use of narcotic drugs among outpatients in Xuzhou Cancer Hospital from 2018 to 2019, so as to provide references for standardizing the rational use of analgesics. Methods A total of 2 893 outpatient anesthetic prescriptions in Xuzhou Cancer Hospital from 2018 to 2019 were collected. The types of narcotic drugs, use departments, age of patients, frequency of drug use (DDDs), drug utilization index (DUI) and so on were analyzed. Results There were 6 varieties and 8 specifications of narcotic drugs in outpatient department from 2018 to 2019. Compound Platycodon, Bucinnazine Hydrochloride Tablets, and Oxycodone Hydrochloride Prolonged-release Tablets (10 mg) had the most number of prescriptions. The departments with the largest use of narcotic drugs were Department of Radiotherapy, Department of Chemotherapy, and Department of Respiratory. The age of patients was mainly 50 — 79 years old. In the treatment of cancer pain in the third step of medication, DDDs of Morphine Hydrochloride Slow-release Tablets was the highest, and DUI of it was close to 1. Consumption sum of Oxycodone Hydrochloride Prolonged-release Tablets (10 mg) was the most. Conclusion The use of narcotic drugs in outpatient pharmacy of Xuzhou Cancer Hospital from 2018 to 2019 is basically reasonable, but doctors need to further study the frequency and time range of narcotic drugs, and pharmacists should also strengthen their professional quality and give reasonable intervention in a timely manner, and in order to promote the individual use of drugs in tumor patients.

R971