本文对我院两批阿片类镇痛药处方共计２４３４张进行对比分析，存在杜冷丁滥用，过分依赖注射剂，剂量偏低，品种剂型单一，按需给药等传统用药习惯。两批镇痛药相隔一年半，合理用药方面虽有进步但不显著，咎其原因是对镇痛药合理应用重视不够。继续推广镇痛药合理应用仍然必要。 In this paper, a total of 2434 prescriptions of two opioid analgesics in our hospital were compared and analyzed. There was the abuse of dolantin, over-reliance on injection, low dosage, single-dosage of different dosage forms and traditional medication habits such as on-demand administration. Two batches of analgesics separated by a year and a half, although there is progress in the rational use of drugs but not significant, because the reason is due to the inadequate attention to the rational use of analgesics. Continue to promote the rational use of analgesics is still necessary.