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目的了解住院患者麻醉药品的应用现状及变化趋势,为临床合理用药提供参考。方法收集海军总医院2014—2016年麻醉药品的应用数据,对其用量、销售金额、用药频度(DDDs)、日均药费(DDC)及药品排序比(B/A)等进行统计分析。结果 2014—2015年销售金额排名前2位的药品为注射用盐酸瑞芬太尼和枸橼酸舒芬太尼注射液,2016年盐酸羟考酮注射液与盐酸羟考酮缓释片(40mg)占据前2位;枸橼酸芬太尼注射液、盐酸羟考酮缓释片(10、40 mg)的DDDs始终位居前3位,是该院使用频次最高的麻醉药品;2014—2015年DDC最高的药品为注射用盐酸瑞芬太尼与枸橼酸舒芬太尼注射液,2016年盐酸羟考酮注射液的DDC占据榜首;B/A接近1.0的药品为盐酸吗啡片、芬太尼透皮贴剂(4.2 mg)、磷酸可待因片。结论该院住院患者麻醉药品的应用基本合理。
Objective To understand the status quo and trends of narcotic drugs in hospitalized patients and provide reference for clinical rational drug use. Methods The application data of narcotic drugs in Naval General Hospital from 2014 to 2016 were collected, and the data were analyzed, such as dosage, sales amount, DDDs, DDC and B / A. Results The top two drugs with sales amount in 2014-2015 were remifentanil hydrochloride and sufentanil citrate injection. In 2016, oxycodone hydrochloride injection and oxycodone hydrochloride sustained-release tablets (40mg ) Occupied the first two places. DDDs of fentanyl citrate injection and oxycodone hydrochloride sustained-release tablets (10,40 mg) consistently ranked the top three, which was the most frequently used narcotic drug in the hospital. 2014-2015 The highest DDC drugs in the year were remifentanil hydrochloride and sufentanil citrate injection. DDC of oxycodone hydrochloride injection topped the list in 2016. The drugs with B / A close to 1.0 were morphine hydrochloride tablets, TANI transdermal patch (4.2 mg), codeine phosphate tablets. Conclusion The hospital use of narcotic drugs in patients with basic reasonable.