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本文对内蒙古医学院第一附院1993年至1994年度四季度中各1个月共4个月的麻醉性镇痛药处方1506张进行了统计分析。并用限定日剂量(DDD)和药物利用指数(DUI)为指标分析其使用情况。结果表明该院麻醉性镇痛药处方占总处方量的2.61%;常用药物共5种,出现率依次为度冷丁81%;强痛定12.7%;DHE3.2%;吗啡2.3%;可待因0.6%。使用科室外科最多57.5%;其次为妇产科18.1%及内科15.9%。用药病人年龄分布很广(0.8-72a),平均年龄46a±s16a,其中30a至60a范围内各科人使用均较多。用药病人性别差异不明显(男55.2%,女44.8%)。度冷丁、可待因、强痛定的DUI均≤1;唯有吗啡DUI>1,为1.95。调查结果显示本院麻醉性镇痛药使用基本合理。
In this paper, a total of 1,506 prescriptions of narcotic analgesics were collected from the First Affiliated Hospital of Inner Mongolia Medical College from January to April in the fourth quarter of 1993 to 1994 for 4 months respectively. The use of DDD and DUI was analyzed. The results showed that the hospital prescription of narcotic analgesics accounted for 2.61% of the total prescription volume; a total of five kinds of commonly used drugs, the incidence rate of 81% of meperidine; strong pain set 12.7%; DHE3.2%; morphine 2 .3%; codeine 0.6%. The department of surgery used up to 57.5%; followed by obstetrics and gynecology 18.1% and 15.9% of internal medicine. The age distribution of patients with medication is very wide (0.8-72a), the average age of 46a ± s16a, 30a to 60a within the scope of the use of all subjects are more. Sex differences in medication patients was not obvious (male 55.2%, female 44.8%). D-dimer, codeine, DQ were determined DQ were ≤ 1; only morphine DUI> 1, 1.95. The survey results show that the use of narcotic analgesics in our hospital is basically reasonable.