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目的分析2014—2016年宜昌市中心人民医院麻醉药品的使用情况。方法对2014—2016年宜昌市中心人民医院麻醉药品的销售金额、临床用途、使用量、用药频度(DDDs)、排序比(B/A)、限定日费用(DDC)及药物利用指数(DUI)等进行统计学分析。结果 2014—2016年麻醉药品的销售金额逐年上升,2015、2016年的增长幅度较大;销售金额居首位的是注射用盐酸瑞芬太尼,其次是枸橼酸芬太尼注射液、磷酸可待因片;DDDs排序居前列的包括盐酸哌替啶注射液、枸橼酸芬太尼注射液及磷酸可待因片;枸橼酸芬太尼注射液、盐酸吗啡注射液的B/A在2016年趋近于1.0;DDC值排序居前列的包括注射用盐酸瑞芬太尼和枸椽酸舒芬太尼注射液;磷酸可待因片、盐酸哌替啶注射液及芬太尼透皮贴剂的DUI均≤1。结论宜昌市中心人民医院麻醉药品的使用较为合理,基本符合WHO推荐的《癌症三阶梯止痛指导原则》的要求。
Objective To analyze the use of narcotic drugs in Yichang Central People’s Hospital from 2014 to 2016. Methods The marketing value, clinical use, dosage, DDDs, B / A, DDC and DUI of the narcotic drugs in Yichang Central People’s Hospital from 2014 to 2016 were analyzed. ) And other statistical analysis. Results The sales volume of narcotic drugs increased year by year in 2014-2016, and the growth rate was higher in 2015 and 2016. The top sales amount was remifentanil hydrochloride for injection, followed by fentanyl citrate injection and phosphoric acid Codeine; DDDs in the forefront, including meperidine hydrochloride injection, fentanyl citrate injection and codeine phosphate tablets; fentanyl citrate injection, morphine hydrochloride injection B / A Approaching 1.0 in 2016. DDC ranked the top of the list including Remifentanil Hydrochloride Injection and Sufentanil Citrate Injection; Codeine phosphate tablets, Pethidine Hydrochloride Injection, and Fentanyl Pesticide DUI skin patch are ≤ 1. Conclusion The use of narcotic drugs in Yichang Central People’s Hospital is more reasonable and basically meets the requirements of the “Guiding Principles of Three-Step Cancer Pain Relief” recommended by the WHO.