目的 分析2017-2019年天津医科大学肿瘤医院门诊药房麻醉药品的使用情况和用药分布，为麻醉药品在临床的合理应用提供参考。方法 对2017-2019年天津医科大学肿瘤医院门诊药房麻醉药品的销售金额、用药频度（DDDs）、限定日费用（DDC）和排序比（B/A）进行分析。结果 2017-2019年天津医科大学肿瘤医院门诊药房麻醉药品销售金额排名基本稳定，各药品的DDDs排名变化不大，硫酸吗啡缓释片（30 mg）、芬太尼透皮贴剂（8.4 mg）和芬太尼透皮贴剂（4.2 mg）的DDDs稳居前3位。除磷酸可待因外，其他药品的DDC值稳定不变。B/A值最低的为盐酸羟考酮缓释片（10 mg），最高的为磷酸可待因片，其他药品的B/A值均在1左右。结论 天津医科大学肿瘤医院门诊药房麻醉药品的使用基本合理。

Objective To investigate the usage and drug distribution of narcotic drugs in outpatients of Tianjin Medical University Cancer Institute and Hospital from 2017 to 2019,so as to provide reference for rational clinical application of drugs. Methods The usage of narcotic drugs in outpatients of Tianjin Medical University Cancer Institute and Hospital from 2017 to 2019 were collected, and consumption quantity, consumption sum, defined daily dose system(DDDs), defined daily cost (DDC), and drug sequence ratio (B/A) were calculated and compared. Results From 2017 to 2019, the ranking of sales amount of narcotic drugs in Tianjin Medical University Cancer Institute and Hospital was basically stable, and the ranking of DDDs of narcotic drugs did not changed significantly, and the DDDs of Morphine Sulfate Sustained-release Tablets (30 mg), Fentanyl Transdermal Patches (8.4 mg) and Fentanyl Transdermal Patches (4.2 mg) were in the top three. Except the Codeine Phosphate Tablets, the value of DDC of other drugs was unchanged. The lowest of B/A value was Oxycodone Hydrochloride Prolonged-release Tablets (10 mg), and the highest was Codeine Phosphate Tablets, and the B/A value of other narcotic drugs was close to 1. Conclusion The usage of narcotic drugs of Tianjin Medical University Cancer Institute and Hospital was basically rational.

R971

天津市教委科研计划项目（2019KJ187）