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目的:分析某院创建癌痛规范化治疗示范病房前后镇痛药的使用情况并对其处方进行点评,评价癌痛规范化治疗示范病房创建工作开展的意义。方法:提取2011~2012年及2013~2014年肿瘤科室患者使用镇痛药的相关数据,对镇痛药的用药频度(DDDs)进行比较;分别从门诊抽取2 400张癌痛患者的镇痛药处方并对其进行点评。结果:癌痛规范化治疗示范病房创建后癌痛患者镇痛药的DDDs较创建前增加,其中第一、第三阶梯镇痛药的DDDs分别较创建前增加了31.85%、1.99%;癌痛规范化治疗示范病房创建后不合理处方减少,药品名称的书写合格率分别从86.25%上升为95.17%,用法用量的书写合格率和药品用法用量的合理率,分别从81.92%、84.93%上升到90.04%和93.28%。结论:创建癌痛规范化治疗示范病房使镇痛药的使用及其处方书写更规范。
OBJECTIVE: To analyze the use of analgesics before and after the establishment of a standardization treatment demonstration ward in a hospital and comment on the prescriptions to evaluate the significance of the establishment of a cancer ward standardized treatment demonstration ward. Methods: The data of analgesics in the oncology department from 2011 to 2012 and from 2013 to 2014 were extracted to compare the frequency of analgesics (DDDs); analgesia was drawn from outpatients for 2,400 patients with cancer pain Drug prescriptions and comments on them. Results: The DDDs of analgesics of patients with cancer pain after the establishment of cancer pain standardization treatment group were significantly higher than before the DDDs were established. The DDDs of the first and third step analgesics increased by 31.85% and 1.99% After the establishment of the treatment demonstration ward, the number of unreasonable prescriptions decreased and the passing rate of the names of the drugs increased from 86.25% to 95.17% respectively. The passing rates of written usage of the dosage and the reasonable rates of usage of the drugs increased from 81.92% and 84.93% to 90.04% And 93.28%. Conclusion: The establishment of standardized treatment of cancer pain demonstration ward so that the use of analgesics and prescription writing more standardized.