我院2014年麻醉药品和第一类精神药品使用分析
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篇名: 我院2014年麻醉药品和第一类精神药品使用分析
TITLE:
摘要: 目的:为麻醉药品和第一类精神药品的合理使用提供参考。方法:对郑州人民医院临床科室2014年1-12月麻醉药品和第一类精神药品使用的品种、科室分布、用药目的、用药频度(DDDs)、日均费用(DDC)、药物利用指数(DUI)等进行调查,并进行统计分析。结果:2014年我院麻醉药品和第一类精神药品医嘱总共28 981张,共使用16种麻醉药品和1种第一类精神药品,其中麻醉药品主要是枸橼酸舒芬太尼注射液(7 816张)和枸橼酸芬太尼注射液(5 104张),第一类精神药品是盐酸氯胺酮注射液(190张)。麻醉药品和第一类精神药品主要在麻醉科、疼痛科和肿瘤内科使用。主要用药目的为术中麻醉、癌痛和术后镇痛。DDDs列前3位的药品为枸橼酸舒芬太尼注射液、枸橼酸芬太尼注射液(0.1 mg)和注射用盐酸瑞芬太尼。结论:该院麻醉药品和第一类精神药品的使用合理,临床医师能够掌握相应药品的适应证,符合该类药品的用药原则,并能根据患者病情个体化合理用药。
ABSTRACT: OBJECTIVE: To provide reference for rational use of narcotic drugs and category Ⅰ psychotropic drugs. METHODS: The utilization of narcotic drugs and category Ⅰ psychotropic drugs in clinical wards of Zhengzhou People’s Hospital during Jan.-Dec. in 2014 was analyzed statistically in respects of drug types, department distribution medication purpose, DDDs, DDC, DUI, etc. RESULTS: A total of 16 kinds of narcotic drugs and one kind of category Ⅰ psychotropic drugs were used in 28 981 prescriptions of narcotic drugs and category Ⅰ psychotropic drugs in our hospital in 2014; A total of 16 kinds of narcotic drugs and one categery Ⅰ psychotropic drugs were used, narcotic drugs mainly included Sufentanil citrate injection (7 816 prescriptions) and Fentanyl citrate injection (5 104 prescriptions), and category Ⅰ psychotropic drugs mainly was Ketamine hydrochloride injection (190 prescriptions). Narcotic drugs and category Ⅰ psychotropic drugs were mainly used in anesthesia department, pain department and medical oncology department. Main purpose of narcotic drugs and category Ⅰ psychotropic drugs were intraoperative anesthesia, cancer pain and postoperative analgesia. Top 3 drugs in the list of DDDs were Sufentanil citrate injection, Fentanyl citrate injection (0.1 mg) and Remifentanil for injection. CONCLUSIONS: The utilization of narcotics and category Ⅰ psychotropic drugs are generally rational in the hospital; the doctors can grasp the indication and medication principle, and use drugs rationally according to disease condition.
期刊: 2016年第27卷第5期
作者: 刘文萍,刘绪林
AUTHORS: LIU Wenping,LIU Xulin
关键字: 麻醉药品;第一类精神药品;用药分析;合理用药;药物利用指数
KEYWORDS: Narcotic drug; Category Ⅰ psychotropic drug; Analysis; Rational drug use; DUI
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