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目的了解我院2006年～2008年阿片类药品使用情况。方法统计分析北京市通州区潞河医院2006年～2008年阿片类药品使用数量及金额。结果强阿片类药物销售金额和数量逐年增加。羟考酮、芬太尼透皮贴剂、舒芬太尼、吗啡即释片和针剂逐年增长,而吗啡控缓释剂型和芬太尼针剂呈下降趋势,吗啡即释制剂依然保持强劲增长趋势。结论本院还不能完全贯彻WHO三阶梯镇痛的使用原则,舒芬太尼用量的逐年增长导致麻醉手术费用提高,从而引起治疗成本增长过快,弱阿片类镇痛药由特殊管制药品转为按处方药品管理,应加强监控,避免造成滥用。
Objective To understand the use of opiates in our hospital from 2006 to 2008. Methods Statistical analysis of the number and amount of opioid use in Luhe Hospital, Tongzhou District, Beijing from 2006 to 2008. Results The sales volume and quantity of strong opioids increased year by year. Oxycodone, fentanyl transdermal patches, sufentanil, morphine immediate release tablets and injections increased year by year, while morphine controlled release and fentanyl injections showed a downward trend, and morphine immediate release formulations maintained a strong growth trend . Conclusions Our hospital can not fully implement the principle of using the three-step analgesia in WHO. The annual increase in the amount of sufentanil caused an increase in the cost of anesthesia surgery, which led to the rapid increase in the cost of treatment. The change of the weak opioid analgesics from specially controlled drugs to Prescription drug management should be strengthened to prevent abuse.