CAJ | 학술논문

目的：评价某院肿瘤科住院患者癌痛镇痛药物的使用情况。方法收集某医院肿瘤科2014年上半年出院患者共计665份病历进行回顾性分析，统计病源分布、镇痛药物用药频度（ DDDs），对临床镇痛药物使用合理性进行评价。结果该院晚期癌痛镇痛治疗遵循“三阶梯用药”原则，总数665份病历中有266份使用了镇痛药物（40.0％）；使用频次最多的是硫酸吗啡缓释片（美施康定）。结论该院肿瘤科住院患者癌痛镇痛药物使用基本合理，但也存在执行标准滴定法确定起始剂量的病例数不足、三阶梯镇痛选药起点高等问题。
목적：평개모원종류과주원환자암통진통약물적사용정황。방법수집모의원종류과2014년상반년출원환자공계665빈병력진행회고성분석，통계병원분포、진통약물용약빈도（ DDDs），대림상진통약물사용합이성진행평개。결과해원만기암통진통치료준순“삼계제용약”원칙，총수665빈병력중유266빈사용료진통약물（40.0％）；사용빈차최다적시류산마배완석편（미시강정）。결론해원종류과주원환자암통진통약물사용기본합리，단야존재집행표준적정법학정기시제량적병례수불족、삼계제진통선약기점고등문제。
Objective The application data of analgesic drugs used by inpatients during 1~6 months of the year 2014 in our hospital was analyzed in order to evaluate the rational use of an-algesic drugs in the clinic.Methods A total of 665 discharged inpatient records were retrospec-tively investigated and statistically analyzed.Pathogen distribution of neoplastic diseases and DDDs data of analgesic drugs was analyzed.Results Results showed that the three step therapy principle in the treatment of advanced cancer was followed properly.It was found that analge-sic drugs was used in 266(40.0%) cases.The most frequently used drug was Morphine sulfate sustained-release tablets ( MS Contin) .Conclusion The use of analgesic drugs on inpatients of Oncology in our hospital was basically rational.There were existing problems such as the lack of implication of dosage titration in the treatment of advanced cancer, and also high starting point on drug selection.