[关键词]
[摘要]
目的 对咸阳市中心医院麻醉药品的临床应用情况及用药趋势进行分析,为麻醉药品的规范化管理和临床合理用药提供参考。方法 对2016-2018年咸阳市中心医院麻醉药品的使用数量、销售金额、用药频度(DDDs)、日均费用(DDC)及药品排序比(B/A)等进行统计和分析。结果 麻醉药品的总销售金额呈现先增长后下降的趋势,其中注射用盐酸瑞芬太尼连续3年排第1位。橼酸舒芬太尼注射液、枸橼酸芬太尼注射液(0.5 mg)的DDDs排名稳定,稳居第1、2位。2016-2018年各药品的DDC值基本稳定不变,缓释剂型的DDC明显高于普通剂型。枸橼酸芬太尼注射液(0.1、0.5 mg)、芬太尼透皮贴剂、枸橼酸舒芬太尼注射液的B/A值都大于1。结论 咸阳市中心医院麻醉药品应用基本合理,医院应继续加强管理,充分发挥药师作用,使麻醉药品使用更安全、合理、有效。
[Key word]
[Abstract]
Objective To analyze the application and tendency of narcotic analgesic drugs in Xianyang Central Hospital, so as to provide reference for standard management and clinical rational use of drugs. Methods A retrospective study was conducted. The data of utilization of narcotic analgesic drugs in Xianyang Central Hospital from 2016 to 2018 were collected and analyzed statistically, and amounts, consumption sums, frequency of drug use (DDDs), defined daily cost (DDC), and drug sequence ratio (B/A) were calculated and analyzed. Results Consumption sums of narcotic drugs showed a trend of increasing first and then decreasing, and Remifentanil Hydrochloride for injection ranked the first for three consecutive years. DDDs of Sufentanil Citrate Injection and Fentanyl Citrate Injection (0.5 mg) ranked stable and ranked the first and second. DDC value of each drug was basically stable from 2016 to 2018, and DDC of the sustained release form was significantly higher than that of the common form. The B/A values of Fentanyl Citrate Injection (0.1 mg) (0.5 mg), Fentanyl Transdermal Patch, and Sufentanil Citrate Injection were all greater than 1. Conclusion The application of narcotic drugs in Xianyang Central Hospital is basically reasonable, but there is still a need to continue to strengthen management, especially pharmacists should actively intervene to make clinical medication safer, more reasonable, and more effective.
[中图分类号]
R913
[基金项目]