CAJ | 학술논문

目的:统计并分析医院手术室注射用麻醉药品剩余情况,探讨流弊风险和规范化管理麻醉药品的可能性. 方法: 采用回顾性研究方法对我院手术室2014年6月-8月10 268张注射用麻醉药品处方进行统计和分析. 结果: 剩余量最多(剩余占比最高)的药品为氯胺酮注射液,其次为哌替啶注射液和瑞芬太尼粉针. 而单次余量占规格比最高的药品为氯胺酮注射液,其次为吗啡注射液和哌替啶注射液. 结论: 对剩余量较大或单次余量占规格比大的药品,如氯胺酮注射液,建议降低规格、减少余量;对手术室内麻醉药品使用,建议精细化管理.
목적:통계병분석의원수술실주사용마취약품잉여정황,탐토류폐풍험화규범화관리마취약품적가능성. 방법: 채용회고성연구방법대아원수술실2014년6월-8월10 268장주사용마취약품처방진행통계화분석. 결과: 잉여량최다(잉여점비최고)적약품위록알동주사액,기차위고체정주사액화서분태니분침. 이단차여량점규격비최고적약품위록알동주사액,기차위마배주사액화고체정주사액. 결론: 대잉여량교대혹단차여량점규격비대적약품,여록알동주사액,건의강저규격、감소여량;대수술실내마취약품사용,건의정세화관리.
Objective:To count and analyze the residue of narcotics for injection after the use in operation rooms in order to find the possibility of risk avoiding and management standardization. Methods:A retrospective research method was adopted to count and analyze 10268 prescriptions including narcotics for injection in operation rooms from June to August in 2014. Results:Ketamine hydro-chloride injection had the largest residue and its remaining amount also occupied the largest proportion of medication. The second one was pethidine hydrochloride injection and the third one was remifentanil hydrochloride for injection. The highest ratio of remaining a-mount in each prescription was ketamine hydrochloride injection, and the second one was morphine hydrochloride injection and pethi-dine hydrochloride injection ranked the third. Conclusion:It is suggested to reduce the specification of medication with the highest ra-tio of remaining amount in each prescription such as ketamine hydrochloride injection, and improve the management efficiency for the use of narcotics in operation rooms.