CAJ | 학술논문

目的：了解某院肿瘤化疗科创建“癌痛规范化治疗示范病房”（以下简称“示范病房”）前后癌痛药物使用情况。方法：采用回顾性方法，对创建“示范病房”前（2011～2012年）、后（2013年），该科癌痛药物销售金额、数量和用药频度（DDDs）等进行统计分析，并根据DDDs的变化追踪使用相关药物的病例，分析其用药合理性。结果：该科癌痛药物年消耗金额及总DDDs逐年增长；口服类癌痛药物DDDs由60.9%上升至71.6%；羟考酮缓释片（40mg）的DDDs取代吗啡注射液进入前4位；按阶梯给药、按时用药、滴定规范化及爆发痛处理等方面均明显改善。结论：创建“示范病房”后，该科癌痛药物的使用更加规范、合理。
목적：료해모원종류화료과창건“암통규범화치료시범병방”（이하간칭“시범병방”）전후암통약물사용정황。방법：채용회고성방법，대창건“시범병방”전（2011～2012년）、후（2013년），해과암통약물소수금액、수량화용약빈도（DDDs）등진행통계분석，병근거DDDs적변화추종사용상관약물적병례，분석기용약합이성。결과：해과암통약물년소모금액급총DDDs축년증장；구복유암통약물DDDs유60.9%상승지71.6%；간고동완석편（40mg）적DDDs취대마배주사액진입전4위；안계제급약、안시용약、적정규범화급폭발통처리등방면균명현개선。결론：창건“시범병방”후，해과암통약물적사용경가규범、합리。
Objective:To know the use of analgesic drugs before and after creating a GPM-ward in department of chemotherapy. Methods:It was maked statistical analysis on the consumption sum、number and DDDs in the period of creating a GPM-ward before and after,and analysed the rationality of analgesic drugs by retrospective method. Results:The total sum of the annual consumption and DDDs of analgesic drugs increased year by year;oral analgesic drugs′DDDs rised from 60.9% to 71.6%;oxycodonehydrochloride prolonged-release tablets′DDDs (40mg)was into the top 4;they were improved significantly in terms of the ladder medication、use drug on time、the standardization titration and treatment of breakthrough pain. Conclusion:The use of analgesic drugs are more standardized and reasonable after creating a GPM-ward.