[关键词]
[摘要]
目的 分析上海交通大学附属第六人民医院东院麻醉药品的应用情况、变化趋势,为麻醉药品的科学管理和临床合理用药提供参考。方法 利用上海交通大学附属第六人民医院东院信息系统收集2016-2018年麻醉药品的应用数据并进行统计处理和分析。结果 麻醉药品的销售金额及其占全部药品销售金额的比例逐年增长。盐酸羟考酮缓释片的用药频度(DDDs)值连续3年保持第1位,枸橼酸舒芬太尼注射液、枸橼酸芬太尼注射液、注射用瑞芬太尼的DDDs逐年增长;芬太尼透皮贴剂、硫酸吗啡缓释片、盐酸吗啡片的DDDs逐年下降。麻醉药品的日均费用(DDC)基本保持不变。2018年较2016年排序比(B/A值)为1的药物品种数增加了100%,排序比小于1的药物品种数减少了20%。结论 上海交通大学附属第六人民医院东院麻醉药品的使用基本合理,但仍然存在不足,需进一步加强麻醉药品的管理。
[Key word]
[Abstract]
Objective To analyze and evaluate the application and trend of narcotic drugs in Shanghai Jiao Tong University Affiliated Sixth People's Hospital East Campus from 2016 to 2018, in order to provide reference for scientific management and rational drug use in clinic. Methods The data of application on narcotic drugs from 2016 to 2018 were collected from the hospital computer management system for statistical analysis. Results Consumption sum of narcotic drugs and its proportion in the total consumption sum increased year by year. DDDs of Oxycodone Hydrochloride Prolonged-release Tablets steadily dominated the first place for three consecutive years. DDDs of Sufentanil Citrate Injection, Fentanil Citrate Injection, and Remifentanyl Injection increased year by year, DDDs of Fentanyl Transdermal Patches, Morphine Sulfate Sustained-release Tablets, and Morphine Hydrochloride Tablets showed a three-year decline. DDC of narcotic drugs were stable substantially. The kinds of narcotic drugs with B/A equaling to 1 in 2018 increased by 100% compared with 2016. The kind of narcotic drugs with B/A <1 in 2018 decreased by 20% compared with 2016. Conclusion The utilization of narcotic drugs in Shanghai Jiaotong University Affiliated Sixth People's Hospital East Campus is rational on the whole, but there are still some problems, which needs further efforts to strengthen the management and intervention.
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[基金项目]
国家自然科学基金面上资助项目(81773949);上海市浦东新区科经委科技发展民生科研专项(PKJ2017-Y07);上海市浦东新区卫计委项目(PW2017E-2);上海市卫计委中医药科研课题(2018YP003)