2019—2020年西安国际医学中心医院麻醉性镇痛药使用情况分析

目的 对西安国际医学中心医院麻醉性镇痛药的临床应用情况进行分析,为医疗机构麻醉性镇痛药的规范化管理和临床合理用药提供参考和依据.方法 采用回顾性分析方法,从医院管理信息系统(HIS)中调取2019年9月—2020年9月全院麻醉性镇痛药的使用数据,对其消耗量、使用金额、用药频度(DDDs)、限定日费用(DDC)、排序比(...

Analysis of utilization of narcotic analgesics in Xi'an International Medical Center Hospital from 2019 to 2020

Objective To analyze the clinical application of narcotic analgesics in Xi''an International Medical Center Hospital, to provide reference and basis for the standardized management and rational clinical use of narcotic analgesics. Methods By retrospective survey, the utilization of narcotic analgesics in the hospital during September 2019-September 2020 from HIS were extracted, and the usage, consumption sum, defined daily doses (DDDs), defined daily cost (DDC), drug sequence ratio (B/A) and the use amount of various specialized hospital were analyzed statistically. Results The consumption amount of Oxycodone Hydrochloride Prolonged-release Tablets (10 mg, 40 mg) ranked the top two. The consumption sum and DDDs of Remifentanil Hydrochloride for injection and Sufentanil Citrate Injetion ranked the first 2 places, the value of B/A were 1.00. The consumption sum and drug frequency had good synchronization, and the economic benefit was consistent with the social benefit. The average daily cost of fentanyl transdermal patch (4.2 mg) was the lowest, and the financial burden of patients was relatively small. On the contrary, the daily cost of hydromorone hydrochloride injection was the highest. The use of narcotic analgesics ranked the top three, in sequences, were the tumor hospital, the anesthesia operation center and the chest hospital. The use of narcotic analgesics in tumor hospitals accounted for 49.54% of the total usage of the hospital. Conclusion The variety and dosage form of narcotic analgesics in Xi''an International Medical Center hospital could meet the clinical needs and their applications were basically reasonable.