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目的 :分析我院 1999～ 2 0 0 1年门急诊肿瘤病人使用麻醉药品的状况、问题及趋势。方法 :调查近 3年我院门急诊麻醉药品处方的一般情况、肿瘤病人使用情况、使用金额、使用频度等并进行分析。结果 :治疗晚期癌症病人癌痛的麻醉药品年用药金额呈逐年递增趋势 ,2 0 0 1年的费用是 1999年的 4.68倍。而 2 0 0 1年的药品使用频度和病人数量分别是 1999年的 2 .82倍和 2 .13倍。3年来每年用药的频度排序有所不同。结论 :应减少哌替啶的应用 ,推荐晚期肿瘤病人首选吗啡控释片止痛。
OBJECTIVE: To analyze the status, problems and trends of narcotic drugs used in outpatient and emergency department of our hospital from 1999 to 2001. Methods: To investigate the general situation of prescriptions of emergency medicine in our hospital in recent 3 years, the usage of tumor patients, the amount of use, the frequency of use and so on. Results: The yearly amount of narcotic drugs for treating cancer pain in patients with advanced cancer showed a year by year increasing trend. The cost in 2001 was 4.68 times of that in 1999. In 2001, the frequency of drug use and the number of patients were 2.82 times and 2.13 times that of 1999 respectively. The frequency of annual medication varies in three years. Conclusion: The application of pethidine should be reduced, and the preferred morphine controlled-release tablet for pain in patients with advanced cancer is recommended.