某三甲肿瘤专科医院2014—2015年麻醉性镇痛药应用情况分析

目的 调查分析某三甲肿瘤专科医院麻醉性镇痛药使用情况,为临床合理用药提供参考.方法 对某三甲肿瘤专科医院2014年1月至2015年12月麻醉性镇痛药的用量、使用金额、用药频度(DDDs)、销售金额、日均费用(DDC)、品种规格、排序比(药品销售金额排序B/用药频度排序A)等指标进行统计分析.结果 2014年1月至2015年12月医院麻醉性镇痛药的用量、使用金额呈逐年增长态势,用药频度中盐酸羟考酮缓释片(40 mg)、盐酸吗啡片(5 mg)和芬太尼透皮贴剂的DDDs均较高(2014年分别为283.12、928.53、375.50,2015年分别为217.03、945.57、478.00)、销售金额及DDC最高的为盐酸羟考酮缓释片,由排序比(B/A)显示经济效益与社会效益相一致的同样是盐酸羟考酮缓释片.结论 某三甲肿瘤专科医院麻醉性镇痛药品种规格相对齐全,用药选择范围广,使用比较合理.

Analysis on the application of narcotic analgesics in a special cancer hospital in 2014-2015

Objective To investigate narcotic drugs usage and trend and provide reference for clinical rational drug use.Methods The narcotic drugs dosage, amount of medication, defined daily doses (DDDs), sales amount and defined daily cost (DDC), specifications and order ratio(B/A) from January 2014 to December 2015 were analyzed.Results The sales amount of narcotic drugs in our hospital showed a trend of increased year by year from January 2014 to December 2015. DDDs of oxycodone hydrochloride zyban (40 mg), morphine hydrochloride tablets (5 mg) and fentanyl transdermal patches were high (283.12,8.53,5.50 in 2014 and 217.03,945.57,478.00 in 2015). The sale amount and DDC of oxycodone hydrochloride zyban was highest. The order ratio of oxycodone hydrochloride zyban was consistent. Conclusion The specifications of narcotics are relatively complete. The choice of narcotics is wide and the using of narcotics is relatively reasonable in the hospital.