目的调查急诊盐酸哌替啶的使用情况,为临床合理用药提供参考。方法选取北京市石景山医院2009年急诊盐酸哌替啶处方1 087张及2008年每月盐酸哌替啶的消耗量为调查对象。结果盐酸哌替啶使用量较去年同期明显增加,除泌尿系结石外,慢性非癌痛使用量占较大的比例。结论急诊盐酸哌替啶存在不尽合理之处,应进一步加强干预和管理。 Objective To investigate the use of pethidine hydrochloride in emergency and provide a reference for clinical rational drug use. Methods A total of 1 087 prescriptions of pethidine hydrochloride for emergency treatment in Beijing Shijingshan Hospital in 2009 and monthly consumption of pethidine hydrochloride in 2008 were selected as the research objects. Results The use of pethidine hydrochloride increased significantly compared with the same period of last year. Except urinary stones, the proportion of chronic non-cancer pain accounted for a large proportion. Conclusion There is not enough rational use of pethidine hydrochloride in emergency, so intervention and management should be further strengthened.