摘要
目的了解癌痛止痛药物的使用情况,为临床合理用药提供依据,保证癌痛规范化治疗,实现癌痛止痛药物的合理、安全使用。方法采用回顾性调查法,对成都医学院第一附属医院信息管理系统提供的2011年6月—2014年6月癌痛止痛药物的用药数据进行统计,使用限定日剂量值(DDD)分析法,计算各药物的总消耗量、总金额、总用药天数、用药频度(DDDs)与药物利用指数(DUI),并加以分析,对其用药合理性进行评价。结果医院癌症止痛药物DUI值均<1,表明用药合理。其中用药频度最高的为硫酸吗啡缓释片,最低的为盐酸二氢埃托啡舌下片。结论该院癌症止痛药物的使用合理,基本符合癌症三阶梯止痛治疗的指导原则,但需结合临床实际情况进行阿片类药物的选择使用,适度增加非甾体类镇痛药的配置与应用。
Objective To investigate the application status of analgesics for patients with cancer pain in the first hospital affiliated to chengdu medical college, in order to promote rational drug application and ensure the standardized treatment of cancer pain. Methods The data of analgesics for cancer pain from June 2011 to June 2014 were calculated statistically on the aspects of the total amount, the total consumption sum, the total clays of medication, DDDs, and DUI, and then analyzed the rationality of drug application. Results The DUI of every analgesic was less than 1,which showed the drug application was rational. According to the rank of total DDDs of the analgesics, the most used drug was Morphine Sulfate Sustained- release Tablets, and the less used drug was Dihydroetorphine Hydrochloride Sublingual Tablets. Conclusion The use of the analgesics for cancer pain in the hospital is in line with the guideline for cancer pain management based on the three- step analgesic Ladder recommended,but the application o{ opioid drugs should be reasonably and the species of NSAIDs should be strengthened.
出处
《中国煤炭工业医学杂志》
2015年第2期335-338,共4页
Chinese Journal of Coal Industry Medicine
基金
成都医学院校基金资助项目CYZ11-021
关键词
癌症止痛药物
利用研究
处方分析
Cancer pain drug
Utilization research
Prescription analysis
