中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
EVALUATION AND ANAL YSIS OF DRUG-USE IN HOSPITALS OF CHINA
2015年
6期
784-787
,共4页
李秦川%叶永琴%程乾荣%陈玉琴%胡巧织
李秦川%葉永琴%程乾榮%陳玉琴%鬍巧織
리진천%협영금%정건영%진옥금%호교직
麻醉药%精神治疗药物%镇痛药%用药分析
痳醉藥%精神治療藥物%鎮痛藥%用藥分析
마취약%정신치료약물%진통약%용약분석
Narcotics%Psychotropic drugs%Analgesics%Drug use analysis
目的：通过对四川省成都市第二人民医院（以下简称“我院”）麻醉药品与第一类精神药品使用情况进行动态分析，进一步提高我院癌痛规范化治疗水平和合理用药水平。方法：从医院系统收集2011—2013年麻醉药品与第一类精神药品用药信息，计算各麻醉药品与第一类精神药品销售金额占全部麻醉药品与第一类精神药品销售金额的构成比、采用用药频度（ DDDs）、限定日费用、药物利用指数等指标进行分析。结果：我院麻醉药品与第一类精神药品中，舒芬太尼注射液销售金额居首位；3年DDDs处于动态变化过程，提示医院合理用药呈持续改进趋势。结论：我院基本按照世界卫生组织推荐的《癌症三阶梯止痛法》及美国国立综合癌症网络成人癌痛指南合理用药，并且在“癌痛规范化治疗示范病房”创建活动中，逐步提高了麻醉药品与精神药品的临床合理应用水平。
目的：通過對四川省成都市第二人民醫院（以下簡稱“我院”）痳醉藥品與第一類精神藥品使用情況進行動態分析，進一步提高我院癌痛規範化治療水平和閤理用藥水平。方法：從醫院繫統收集2011—2013年痳醉藥品與第一類精神藥品用藥信息，計算各痳醉藥品與第一類精神藥品銷售金額佔全部痳醉藥品與第一類精神藥品銷售金額的構成比、採用用藥頻度（ DDDs）、限定日費用、藥物利用指數等指標進行分析。結果：我院痳醉藥品與第一類精神藥品中，舒芬太尼註射液銷售金額居首位；3年DDDs處于動態變化過程，提示醫院閤理用藥呈持續改進趨勢。結論：我院基本按照世界衛生組織推薦的《癌癥三階梯止痛法》及美國國立綜閤癌癥網絡成人癌痛指南閤理用藥，併且在“癌痛規範化治療示範病房”創建活動中，逐步提高瞭痳醉藥品與精神藥品的臨床閤理應用水平。
목적：통과대사천성성도시제이인민의원（이하간칭“아원”）마취약품여제일류정신약품사용정황진행동태분석，진일보제고아원암통규범화치료수평화합리용약수평。방법：종의원계통수집2011—2013년마취약품여제일류정신약품용약신식，계산각마취약품여제일류정신약품소수금액점전부마취약품여제일류정신약품소수금액적구성비、채용용약빈도（ DDDs）、한정일비용、약물이용지수등지표진행분석。결과：아원마취약품여제일류정신약품중，서분태니주사액소수금액거수위；3년DDDs처우동태변화과정，제시의원합리용약정지속개진추세。결론：아원기본안조세계위생조직추천적《암증삼계제지통법》급미국국립종합암증망락성인암통지남합리용약，병차재“암통규범화치료시범병방”창건활동중，축보제고료마취약품여정신약품적림상합리응용수평。
OBJECTIVE:To analyze the use of narcotics and the first class psychotropic drugs in Sichuan Chengdu Municipal Second People's Hospital ( hereinafter referred to as the “our hospital”) during 2011-2013 in order to further improve the the level of standard and rational use of drugs for cancer pain.METHODS:The consumption data of narcotics and the first class psychotropic drugs in our hospital during 2011-2013 retrieved from the hospital information system were analyzed with regard to the proportion of each narcotic drug or psychotropic drug in total narcotics or the first class psychotropic drugs in terms of the consumption sum, DDDs, defined daily cost and drug utilization index.RESULTS:Among the narcotics and psychotropic drugs, sufentanil injection ranked first in terms of consumption sum over 3 years;DDDs was in the process of dynamic change, indicating that hospital rational drug use level was in continuous improvement process.CONCLUSIONS: The use of narcotics and the first class psychotropic drugs in our hospital is basically in line with the“three ladder analgesic treatment for cancer pain” principle and the“national cancer center network guidline on rational drug ue for adult cancer pain”.Furthermore, the rational use level of narcotics and the first class psychotropic drugs in our hospital has been improving ever since the establishment of the “demonstration ward on standardized treatment of cancer”.
