CAJ | 학술논문

目的：了解北京朝阳医院急诊患者使用曲马多的情况及合理性，为临床合理用药提供参考。方法：随机抽取2013年该院急诊科医生开具的包含曲马多的处方597张，采用限定日剂量法（DDD）和药物利用指数（DUI）进行评价与分析，对该院曲马多缓释片和曲马多注射液在急诊中的临床使用进行相关数据分析。结果：在本次随机抽取的该院急诊科医生开具的包含曲马多处方中，该品种主要应用于急性疼痛，曲马多缓释片DUI＜1，曲马多注射液DUI＜1。结论：该院急诊曲马多使用基本合理，但仍有不足，需加强对医生合理用药的宣传。
목적：료해북경조양의원급진환자사용곡마다적정황급합이성，위림상합리용약제공삼고。방법：수궤추취2013년해원급진과의생개구적포함곡마다적처방597장，채용한정일제량법（DDD）화약물이용지수（DUI）진행평개여분석，대해원곡마다완석편화곡마다주사액재급진중적림상사용진행상관수거분석。결과：재본차수궤추취적해원급진과의생개구적포함곡마다처방중，해품충주요응용우급성동통，곡마다완석편DUI＜1，곡마다주사액DUI＜1。결론：해원급진곡마다사용기본합리，단잉유불족，수가강대의생합리용약적선전。
Objective:To analyze the application of tramadol in emergency department of Beijing Chaoyang Hospital,and to provide reference for rational drug use in the clinic.Methods:597 prescriptions of tramadol in emergency department of our hospital during 2013 were randomly selected. Using the defined daily dose(DDD) method and drug utilization index(DUI)evaluation , the data analysis of prescriptions of tramadol extended release tablets and injection was performed.Results:In the randomly selected prescriptions of hospital emergency department, tramadol was mainly used in acute pain. The DUI of tramadol extended release tablets and tramadol injection was both less than 1.Conclusion:The utilization of tramadol was on the whole rational in emergency department of the hospital,but tramodol should be strictly controlled and avoided to be abused in the clinic. On the other hand,it's necessary to strengthen the propaganda of rational usage of tramadol .