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本文调查分析1所大型综合性医院1989-1994年麻醉性镇痛药使用情况,平均年消耗量为29645±s5591DDDs。年开支金额逐年增加,1994年为1990年的440%。内科用量占全院的55.3%,二氢埃托啡片1991年猛增至10万片以上,卫生部下达文件后下降。门诊麻醉镇痛药用量占4.9%,其处方量占总处方量的0.35%。主要使用单位是急诊科,占70.2%。男女患者比为2.4:1;26-45aa组占45.6%。药物利用指数0.29-0.70,使用不当者主要是二氢埃托啡,发现2人发生依赖性。43名癌痛患者很少按“三阶梯止痛疗法”给药。根据存在的问题,本文提出相应的建议。
This paper investigates and analyzes the use of narcotic analgesics in a large general hospital from 1989 to 1994, with an average annual consumption of 29645 ± s5591DDDs. The amount of annual expenditure has increased year by year since 1994 to 440% in 1990. Internal medicine accounted for 55.3% of the hospital, dihydroetorphine tablets soared to more than 100,000 in 1991, the Ministry of Health issued a document after the decline. Outpatient anesthesia analgesics dosage accounted for 4.9%, the prescription accounted for 0.35% of the total prescription volume. The main unit of use is the emergency department, accounting for 70.2%. Male to female patients ratio was 2.4: 1; 26-45aa group accounted for 45.6%. Drug utilization index 0.29-0.70, improper use of mainly dihydrotestin, found that 2 people were dependent. Forty-three patients with cancer pain are seldom administered “three-step analgesic therapy”. According to the existing problems, this article puts forward the corresponding suggestions.