门急诊麻醉药品的处方分析

【】　目的　分析宜宾市第二人民医院2009年门、急诊麻醉药品的使用情况，促进麻醉药品使用的合理化和规范化。　方法　对2009年门急诊1420张麻醉药品处方进行统计，统计处方总数，麻醉药品临床使用分布情况，根据药品分类分别统计麻醉药品的用药总量，各种麻醉药品的处方所占的比例，实际用药总天数等。对非癌症处方以用药频率及药物利用指数（DUI）为指标，癌症处方以用药天数及平均日用药量为指标进行进行统计、分析、评价。　结果　门急诊的麻醉药品有8种，盐酸吗啡缓释片的总用量居首位，盐酸哌替啶针在急诊处方中出现频率较高，芬太尼透皮贴剂的用药频度较小，药物利用指数均≤1。　结论　宜宾市第二人民医院的急诊麻醉药品使用基本合理。？Atotalof1420piecesofnarcoticdrugsprescriptionsfortheoutpatientinourhospitalin2009wereextracted.Thetotalnumberofprescriptions,thedistributionoftheclinicaluseofnarcoticdrugs,thetotalamountofnarcoticdrugsaccordingtodifferenttypes,theproportionofeachkindofnarcoticdrugprescriptionandtheactualnumberofmedicationdurationswerecountedandanalyzed.Defineddailydose(DDD)anddruguseindex(DUI)ofthenon-cancerdrugsprescription;meanwhile,thenumberofdrug-usingdaysandaveragedailyamountofcancerdrugprescriptionwerestatisticallyanalyzed.　Results　Therewereeightkindsofnarcoticdrugsfortheoutpatients.Themosttotalamountofnarcoticdrugswasmorphinehydrochloridesustainedreleasetablets;themedicationfrequencyofpethidineinjectionintheemergencyprescriptionwashighandthemedicationfrequencyoftransdermalfentanylwaslow.Thenarcoticdrugsutilizationindexwaslowerthanone.　Conclusion　Theuseofnarcoticdrugsinourhospitalisrational.