摘要
目的探讨北京大学国际医院麻醉药品处方应用现状及用药合理性。方法随机选取2018年9月—2020年9月北京大学国际医院收治的癌痛患者麻醉药品处方500张,对所有处方进行处方点评,统计麻醉药品品种和平均消耗量、麻醉药品处方基本指标及不同类型处方金额,分析不合理处方情况。结果500张处方中盐酸羟考酮缓释片(规格:10 mg/片)处方最多,共130张(26.00%),其次是注射用瑞芬太尼(规格:1 mg/支),共81张(16.20%);消耗量最大的是盐酸羟考酮缓释片(规格:10 mg/片),共消耗8580 mg,其次是盐酸羟考酮缓释片(规格:40 mg/片),共消耗4720 mg。500张处方中,注射剂使用率为34.60%(173/500),药品通用名使用率为100.00%(500/500),平均每张处方金额为(72.81±5.13)元,耳鼻咽喉恶性肿瘤平均处方金额最高,为(143.89±15.24)元;妇科肿瘤平均处方金额最少,为(52.45±4.35)元。不合理处方共10张,不合理处方率为2.00%,其中用法用量不适宜2张,占0.4%,临床诊断不全8张,占1.60%。结论癌痛患者麻醉药品中盐酸羟考酮缓释片(规格:10 mg/片、40 mg/片)应用最为频繁,整体用药合理,但仍存在极少部分不合理现象,需加强癌痛麻醉药品相关知识培训,以规范院内麻醉药品使用合理性。
Objective To explore the application status and rationality of narcotic drug prescription in Peking University International Hospital.Methods A total of 500 prescriptions of narcotic drugs were randomly selected from cancer pain patients admitted to Peking University International Hospital from September 2018 to September 2020.All prescriptions were evaluated,and the types and average consumption of narcotic drugs,basic indicators of narcotic drugs prescriptions and the amount of different types of prescription were counted,and the unreasonable prescriptions were analyzed.Results Among the 500 prescriptions,Oxycodone Hydrochloride Sustained-release Tablets(specification:10 mg/tablet)had the most prescriptions,130(26.00%)in total,followed by Remifentanil for injection(specification:1 mg/piece),81(16.20%)in total.Oxycodone Hydrochloride Sustained-release Tablets(specification:10 mg/tablet)consumed 8580 mg,followed by Oxycodone Hydrochloride Sustained-release Tablets(specification:40 mg/tablet),with a total consumption of 4720 mg.Among the 500 prescriptions,the utilization rate of injection was 34.60%(173/500),the utilization rate of generic name was 100.00%(500/500),and the average amount of each prescription was(72.81±5.13)yuan.The average prescription amount for malignant tumors of ear,nose and throat was the highest,which was(143.89±15.24)yuan.The average amount of prescription for gynecological tumor was the lowest,which was(52.45±4.35)yuan.There are 10 unreasonable prescriptions,and the unreasonable prescription rate was 2.00%.Among them,2 sheets were inappropriate for usage and dosage,accounting for 0.4%,and 8 sheets were incompletely diagnosed clinically,accounting for 1.60%.Conclusion Oxycodone Hydrochloride Sustained-release Tablets(specification:10 mg/tablet,40 mg/tablet)are the most frequently used narcotic drugs in patients with cancer pain,and the overall drug use is reasonable.However,there are still a few irrational phenomena,so it is necessary to strengthen the training of related knowledge of cancer pain narcotic drugs to standardize the rationality of drug use in hospitals.
作者
赵方
周林光
ZHAO Fang;ZHOU Lin-guang(Department of Pharmacy,Peking University International Hospital,Beijing102206,China)
出处
《中国当代医药》
CAS
2021年第19期162-165,共4页
China Modern Medicine
关键词
癌痛
住院药房
麻醉药物
应用现状
用药合理性
Cancer pain
Inpatient pharmacy
Narcotic drugs
Application status
Rationality of drug use
