我院2013-2016年住院患者麻醉性镇痛药应用分析
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篇名: 我院2013-2016年住院患者麻醉性镇痛药应用分析
TITLE:
摘要: 目的:评价我院住院患者麻醉性镇痛药的应用情况,为临床合理用药提供参考。方法:对我院2013-2016年住院患者常用麻醉性镇痛药的销售金额、用药频度(DDDs)、日均费用(DDC)和排序比(B/A)等进行统计分析。结果:我院2013-2016年住院患者麻醉性镇痛药共有13个品规。销售金额排名前3位的药品为芬太尼透皮贴剂(8.4 mg)、盐酸羟考酮缓释片(20 mg)和芬太尼透皮贴剂(4.2 mg);DDDs排名前2位的药品为芬太尼透皮贴剂(4.2 mg)和芬太尼透皮贴剂(8.4 mg);盐酸羟考酮缓释片(10 、20 mg)的DDC在350~370元,位于第1、2位。盐酸羟考酮缓释片(10、20 mg)的B/A值<0.50, 盐酸布桂嗪注射液、阿桔片的B/A值>1.50,其他药品的B/A值多在0.50~1.50。结论:我院2013-2016年麻醉性镇痛药的用药趋势基本一致,临床应用基本合理。吗啡缓释片和芬太尼透皮贴剂已经成为临床医师治疗疼痛的首选。
ABSTRACT: OBJECTIVE: To evaluate the application of narcotic analgesics in the inpatients of our hospital, and to provide reference for rational drug use in clinic. METHODS: The application of narcotic analgesics in the inpatients of our hospital during 2013-2016 was analyzed statistically in respects of consumption sum, DDDs, DDC and B/A. RESULTS: There were 13 kinds of narcotic analgesics in the inpatients of our hospital. Top 3 narcotic analgesics in the list of consumption sum were Fentany transdermal patches (8.4 mg), Oxycodone hydrochloride prolonged-release tablets (20 mg) and Fentany transdermal patches (4.2 mg) in our hospital during 2013-2016. Top 2 drugs in the list of DDDs were Fentany transdermal patches (4.2 mg) and Fentany transdermal patches (8.4 mg). DDC of Oxycodone hydrochloride prolonged-release tablets (10, 20 mg) ranged 350-370 yuan, taking up first or second place. B/A of Oxycodone hydrochloride prolonged-release tablets (10, 20 mg) was <0.50, those of Bucinnazine hydrochloride injection and Compound platycodon tablets were >1.50; those of other drugs mostly ranged 0.50-1.50. CONCLUSIONS: The consumption trend of narcotic analgesics varies rarely in our hospital during 2013-2016, and the clinical use of narcotic analgesics is basically rational. Morphine sustained-release tablet and Fentany transdermal patch have become the first choice for pain treatment.
期刊: 2017年第28卷第35期
作者: 赵颖,李秀敏,崔杰
AUTHORS: ZHAO Ying,LI Xiumin,CUI Jie
关键字: 麻醉性镇痛药;销售金额;用药频度;日均费用;排序比
KEYWORDS: Narcotic analgesics; Consumption sum; DDDs; DDC; Order ratio
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