• 中国核心期刊(遴选)数据库收录期刊
  • 中文科技期刊数据库收录期刊
  • 中国期刊全文数据库收录期刊
  • 中国学术期刊综合评价数据库统计源期刊等

中国药物评价 ›› 2020, Vol. 37 ›› Issue (4): 302-305.

• 药物管理 • 上一篇    下一篇

癌痛规范化治疗药物合理使用分析

李丹, 林明珠, 王君   

  1. 安阳市肿瘤医院,河南 安阳 455000
  • 收稿日期:2020-05-14 修回日期:2020-07-29 出版日期:2020-08-28 发布日期:2020-09-21

Analysis of Rational Use of Standardized Treatment Drugs for Cancer Pain in Hospital

  1. Anyang Cancer Hospital, Hennan Anyang 455000, China
  • Received:2020-05-14 Revised:2020-07-29 Online:2020-08-28 Published:2020-09-21

摘要: 目的:分析癌痛治疗药物的使用情况,执行中国抗癌协会联合发布的 “癌痛规范化治疗示范病房”的创建。方法:通过医院HIS系统查询我院2019年1~6月肿瘤相关病房癌痛治疗药物使用信息,以药品名称、规格、药品消耗数量(支/片/贴)、用药频率(DDDs),同期相关病房癌痛治疗药物使用量等为基础,分析上述数据变化与合理用药的关系。结果:癌痛病房所使用的止痛药(包括外用贴剂)以口服药为主(占95.98%),与世界卫生组织(WHO)推荐的口服给药为缓解癌痛的最佳给药途径相符。三阶梯消耗量构成比分别为28.26%、13.69%、58.04%,其中治疗重度疼痛的第三阶梯药物占比较大。结论:各阶梯癌痛药物总体使用比较规范、合理,但也存在一些不合理用药现象,建议临床药师应在合理用药分析的基础上,有充分理论和临床数据支持下,为临床医生提供建议,促进临床合理用药。
  

关键词: 癌痛药物, 规范化治疗, 合理用药

Abstract: Objective: To analyze the application of analgesics for patients with cancer pain, in order to provide references and suggestions for the establishment of the “Cancer Pain Standardized Treatment Model Ward” by the China Anti-Cancer Association. Methods: The HIS system of the hospital was used to inquire about the information of drug use in cancer-related wards from January to June, 2019. The drug names, specifications, drug consumption amount (branch/tablet/packet),defined daily dose system(DDDs),total drug consumption in the cancer-related wards during the same period were analyzed. The relationship between the above data changes and rational drug use was analyzed. Results: The main analgesics used in the cancer pain wards were oral (including topical patches), accounting for 95.98% of the total consumption, which was consistent with the oral administration recommended by World Health Organization (WHO) as the best way to relieve cancer pain. The percentages of the consumption of the three ladders were 28.26%, 13.69%, and 58.04% respectively. The drugs for severe pain accounted for a large proportion. Conclusion: Although the overall use of cancer pain drugs in various ladders is basically rational and standard, there are also some problems of unreasonable drug use. The clinical pharmacist should find more information in order to make recommendations to the doctor with the support of sufficient evidence and data to achieve the purpose of clinically reasonable medication.

Key words: font-size:medium, ">Cancer pain drug; Standardized treatment; Rational drug

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