论文部分内容阅读
目的:分析西藏自治区人民医院麻醉药品和精神药品的使用情况,为临床合理使用麻醉药品和精神药品提供依据。方法:通过HIS系统统计该院2016年麻醉药品和精神药品的使用数量和金额,以用药频度为指标,分析用药合理性。抽取该院2016年1―12月每月上、中、下旬每周一的麻醉药品和精神药品处方,采用EXCEL软件逐张录入处方的基本信息,并进行专项点评,分析不合理处方。结果:西藏自治区人民医院2016年使用麻醉药品12种,精神药品11种,共计23种。全年使用量和使用频次最高的麻醉药品和精神药品分别是枸橼酸芬太尼注射液和阿普唑仑片。处方点评共收集麻醉药品和精神药品处方1 642张,确定不合理处方共计373张,占比22.72%。主要不合理处方类型为开具麻醉药品和精神药品处方未执行国家相关规定(23.32%)、开具处方未写临床诊断或临床诊断书写不全(20.91%)、无适应证用药(15.55%)。结论:西藏自治区人民医院需进一步加强对临床医务人员的培训及对麻醉药品和精神药品的管理,以确保麻醉药品和精神药品临床使用的安全性和有效性,提高药物治疗水平。
Objective: To analyze the use of narcotic drugs and psychotropic drugs in the People’s Hospital of Tibet Autonomous Region and provide the basis for clinical rational use of narcotic drugs and psychotropic drugs. Methods: The number and amount of narcotic drugs and psychotropic drugs used by the hospital in 2016 were calculated by HIS system. The frequency of drug use was taken as an index to analyze the rationality of drug use. The hospital took prescriptions of narcotic drugs and psychoactive drugs every January, December and December of each month from January to December in 2016 and used EXCEL software to input the basic information of each prescription one by one, and made special reviews to analyze unreasonable prescriptions. Results: The People’s Hospital of Tibet Autonomous Region used 12 narcotic drugs and 11 psychotropic drugs in 2016, for a total of 23 species. Narcotic drugs and psychotropic substances, which have the highest annual usage and frequency of use, were fentanyl citrate injection and alprazolam tablets. A total of 1 642 prescriptions of narcotic drugs and psychotropic drugs were collected from the prescriptions. A total of 373 prescriptions were determined to be irrational, accounting for 22.72% of the total. The main types of unreasonable prescriptions were prescriptions not issued by the State that issued prescriptions for narcotic drugs and psychotropic substances (23.32%), prescriptions not written for clinical diagnosis or clinical diagnosis (20.91%) and prescriptions without indications (15.55%) were issued. Conclusion: People’s Hospital of Tibet Autonomous Region needs to further strengthen the training of clinical staff and management of narcotic drugs and psychotropic drugs to ensure the safety and effectiveness of clinical use of narcotic drugs and psychotropic drugs, and improve the level of drug treatment.