目的 分析张家口市第一医院麻醉药品应用情况，为临床合理用药提供参考。方法 从张家口市第一医院医院信息系统（HIS）中调取2019年1月—2021年12月相关数据资料，采用Excel统计用药品种、金额、用药频度（DDDs）、限定日费用（DDC）和用药金额排序（B）/DDDs排序（A）的比值。结果 2019—2021年，医院住院药房使用的麻醉药品涉及17个品规，麻醉药品的销售金额呈逐年递增趋势。2019—2021年，盐酸羟考酮缓释片（10 mg）一直居于首位，盐酸哌替啶片则一直居于末位；2019—2021年，盐酸布桂嗪注射液、盐酸哌替啶片和磷酸可待因片DDC一直排在后3位，DDC均在5元以下。2019—2021年，院内绝大部分麻醉药品B/A＞0.5。结论 张家口市第一医院住院药麻醉药品使用基本合理，但仍然存在不足，须进一步改进。

Objective To analyze the use of narcotic drugs in Zhangjiakou First Hospital,and to provide reference for clinical rational drug use.Methods Related data were collected from the Hospital Information System (HIS) of Zhangjiakou First Hospital from January 2019 to December 2021,and the ratio of drug type,sum,DDDs,DDC and drug sum order (B)/DDDs order (A) was analyzed by Excel.Results From 2019 to 2021,17 drug specifications were involved in the use of narcotic drugs in hospital inpatient pharmacies,and the consumption sum of narcotic drugs showed an increasing trend year by year.From 2019 to 2021,Oxycodone Hydrochloride Sustained-release Tablets (10 mg) have been in the first place,while Pethidine Hydrochloride Tablets have been in the last place.From 2019 to 2021,the DDC of Bucinazine Hydrochloride Injection,Pethidine Hydrochloride Tablets,and Codeine Phosphate Tablets always ranked the last 3,with DDC below 5 yuan.From 2019 to 2021,B/A of most narcotic drugs in hospitals was>0.5.Conclusion The use of inpatient narcotic drugs in Zhangjiakou First Hospital is basically reasonable,but there are still deficiencies,which should be further improved.

R971

河北省中医药管理局科研计划项目(2023194)