xx醫(yī)院麻醉藥品用量動(dòng)態(tài)分析

摘要：目的 通過調(diào)查統(tǒng)計(jì)xx醫(yī)院2012年全院麻醉藥品的使用情況，對(duì)該院麻醉藥品使用的合理性進(jìn)行全面討論分析，并以此作為臨床合理使用麻醉藥品的重要參考依據(jù)。方法 從藥庫管理系統(tǒng)中調(diào)取2012年xx醫(yī)院麻醉藥品的數(shù)據(jù)，采用限定日劑量（DDD）作為測定藥物的利用單位，通過計(jì)算用藥頻度來分析用藥情況。結(jié)果 阿片類麻醉藥品用量逐漸加大，哌替啶注射液的用量有減小趨勢。鹽酸羥考酮控釋片（20mg*10片）、鹽酸羥考酮控釋片（10mg*10片）、芬太尼透皮貼劑（4.2mg*5帖）的用藥頻度（DDDs）排名前三。結(jié)論 2012年xx醫(yī)院麻醉藥品的使用情況基本合理，多采用口服或無創(chuàng)的阿片類麻醉藥進(jìn)行鎮(zhèn)痛，但仍需對(duì)哌替啶注射液的用量給予控制。此外要加強(qiáng)醫(yī)護(hù)人員對(duì)此類藥品的教育培訓(xùn)，臨床應(yīng)用更加合理安全。

關(guān)鍵詞： 麻醉藥品; 限定日劑量; 用藥頻度

Analysis of Narcotics Using in Afflicted Hospital
of Putian University in 2012

Abstract: Objective  Collecting the use of narcotic drugs in Afflicted Hospital of Putian University during 2012 to analyse the rationality of using narcotic drugs and provide some scientific basis in using narcotic drugs. Method  We can gather the dates about narcotic drags in the hospital from pharmacy systems and take the use of defined daily dose (DDD) as a unit of drug use,then analyse the situation in using drug by calculating the frequency of narcotic drug.Results  The consumption of Opioid narcotic gradually increased, pethidine injection had a trend to decrease.The top three DDDs of these drug were 20mg*10tablets of Oxycodone Hydrochloride controlled-release Tabletes,10mg*10tablets of Oxycodone Hydrochloride controlled-release Tabletes,4.2mg*5Fentanyl Transdermal system.Conclusion  Althouth the use of narcotic drugs in this hospital is rationnal because of using more oral or non-invasive opioid anesthetics,the dosage of Pethidine Hydrochloride Injection also need to control. Medical personnel shuld be requir to carry out the education and training and strengthen the administration of these drugs.

Keywords:  narcotic drugs; DDD; DDDs