2011 年我院麻醉性镇痛药物 使用情况分析.docVIP

精品论文 参考文献 2011 年我院麻醉性镇痛药物 使用情况分析 宋湘敏 王文元 杭州市江干区九堡镇社区卫生服务中心 药剂科，浙江 杭州 邮编310019 浙江省人民医院 麻醉科 浙江 杭州 邮编310016 摘要：目的 分析我院2011 年麻醉性镇痛药物的使用情况，为合理用药、提高临床用药规范提供指导和依据。方法 回顾性分析2011 年麻醉性镇痛药物的种类 和用药量，计算用药频度（DDDs）。结果 共包括9 种麻醉性镇痛药品，其处方量从高到低依次为吗啡注射液、哌替啶注射液、布桂嗪注射液、吗啡控释片、羟考 酮控释片、芬太尼注射液、可待因片和芬太尼透皮贴剂。DDDs 数值最高的3 种药物为哌替啶注射液、布桂嗪注射液和吗啡注射液。结论 本院麻醉性镇痛药物的使 用存在不合理情况，如哌替啶注射液使用过多，应引起临床重视。 关键词：麻醉性镇痛药物；用药频度；合理用药 Analysis of narcotic analgesics application during 2011 Song Xiangmin Wang Wenyuan 2 1 Department of Jianggan District Jiubao town community health service center agent 1 Hangzhou, 310019 Zhejiang Hangzhou zip code 2 Zhejiang Province Peoples Hospital anesthesiology department Zhejiang Hangzhou zip code 310016 Abstract: Objective To analyze the narcotic analgesics application during 2011 in our hospital, in order to provide guidance and basis for clinical application in the rational use of drugs and specifications. Methods In 2011 we were retrospectively analyzed the types and dose of narcotic analgesic drugs, and the frequency of drug use (DDDs) was calculated. Results 9 types of narcotic analgesic drugs were included in this study. The numbers of prescriptions of from high to low in turn were morphine injection, pethidine injection, bucinnazine Hydrochloride Injection, morphine extended-release tablets, oxycodone hydrochloride controlled-release tablets, fentanyl injection, codeine tablets and fentanyl transdermal patches. The 3 most highest values of DDDs were pethidine injection , bucinnazine Hydrochloride Injection and morphine injection. Conclusion There exists unreasonable conditions in the use of narcotic analgesic drugs, such as using too much pethidine injection. We should pay more attention to the clinical application. Key words: narcotic analgesic drugs; frequency of drug use; rational use of drugs 麻醉性镇痛药物是医院开展手术必须要使用的药物，也是某些剧 烈疼痛症状的常用镇痛药物，然而药物滥用，可引起很多并发症，如 烦躁、失眠、肌颤、散瞳、呕吐等，因此，对麻醉性镇痛药物使用情 况进行分析，以了解我院该类药物的使用情况并及时进行相应的纠 正，报告如下。