2014—2016年天津市津南区咸水沽医院麻醉药品的使用情况分析

目的 了解天津市津南区咸水沽医院麻醉药品的使用情况和变化趋势，为促使临床合理应用麻醉药品提供依据。方法 对2014-2016年天津市津南区咸水沽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 2014-2016年麻醉药品的销售金额及构成比均逐年增加，其中枸橼酸舒芬太尼注射液的销售金额在2015、2016年均占绝对优势。麻醉药品的DDDs排名相对稳定，磷酸可待因片和盐酸吗啡缓释片的DDDs排名保持在前两位。口服剂型吗啡类麻醉药品的DDC基本相近。盐酸吗啡缓释片、芬太尼透皮贴、硫酸吗啡缓释片、磷酸可待因片、盐酸哌替啶注射液和盐酸布桂嗪注射液B/A都大于1。注射用盐酸瑞芬太尼、盐酸羟考酮注射液、枸橼酸舒芬太尼注射液B/A小于1。其余麻醉药品B/A均接近于1。结论 天津市津南区咸水沽医院麻醉药品应用基本合理，但仍存在一些不足，还需进一步加强麻醉药品管理。

Analysis on usage of narcotic drugs in Jinnan Xianshuigu Hospital of Tianjin City from 2014 to 2016

Objective To understand the usage and changing trend of narcotic drugs in Jinnan Xianshuigu Hospital of Tianjin City, so as to provide basis for the rational application of narcotic drugs in clinic. Methods The quantities, consumption sum, defined daily doses (DDDs), defined daily cost (DDC), and drug sequence ratio (B/A) of narcotic drugs in Jinnan Xianshuigu Hospital of Tianjin City from 2014 to 2016 were analyzed statistically. Results The sales amount and composition ratio of narcotic drugs increased year by year from 2014 to 2016. The sales amount of Sufentanil Citrate Injection accounted for an absolute advantage in 2015 and 2016. The DDDS rankings of narcotic drugs were relatively stable, and DDDs of Codeine Phosphate Tablets and Morphine Hydrochloride Sustained-release Tablets ranked the first two places. DDC of morphine and related narcotic drugs in oral dosage forms were basically near. B/A of Morphine Hydrochloride Sustained-release Tablets, Fentanyl Transdermal Patch, Morphine Sulfate Sustained-release Tablets, Codeine Phosphate Tablets, Meperidine Hydrochloride Injection, and Buprenazine Hydrochloride Injection were above 1. B/A of Remifentanil Hydrochloride for injection, Oxycodone Hydrochloride Injection, Sufentanil Citrate Injection were less than 1. B/A of the remaining narcotic dugs was close to 1. Conclusion The application of narcotic drugs in Jinnan Xianshuigu Hospital of Tianjin City is basically reasonable, but there are still some shortcomings. It is necessary to further strengthen the management of narcotic drugs.