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某院癌痛规范化治疗示范病房创建前后镇痛药使用分析及处方点评
Analysis of the Utilization of Analgesic Drugs and Evaluation of Analgesic Prescription before and after Establishment of Demonstration Ward for Standardized Cancer Pain Treatment in a Certain Hospital
  
DOI:
中文关键词:  癌痛规范化治疗示范病房  镇痛药  用药频度  处方点评  合理用药
英文关键词:Demonstration ward for standardized cancer pain treatment  Analgesic drugs  DDDs  Prescription comment  Rational drug use
基金项目:
作者单位
王海桃 王晓璐 王君瑜 耿传信 刘雪丽 青岛市肿瘤医院药剂科( 山东青岛 266042)②青岛市中心医院药剂科 
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中文摘要:
      摘 要 目的:分析某院创建癌痛规范化治疗示范病房前后镇痛药的使用情况并对其处方进行点评,评价癌痛规范化治疗示范病房创建工作开展的意义。方法:提取2011~2012年及2013~2014年肿瘤科室患者使用镇痛药的相关数据,对镇痛药的用药频度(DDDs)进行比较;分别从门诊抽取2 400张癌痛患者的镇痛药处方并对其进行点评。结果:癌痛规范化治疗示范病房创建后癌痛患者镇痛药的DDDs较创建前增加,其中第一、第三阶梯镇痛药的DDDs分别较创建前增加了31.85%、1.99%;癌痛规范化治疗示范病房创建后不合理处方减少,药品名称的书写合格率分别从86.25%上升为95.17%, 用法用量的书写合格率和药品用法用量的合理率,分别从81.92%、84.93%上升到90.04%和93.28%。结论:创建癌痛规范化治疗示范病房使镇痛药的使用及其处方书写更规范。
英文摘要:
      ABSTRACT Objective: To analyze the utilization of analgesic drugs and evaluation of analgesic drugs prescription before and after establishment of demonstration ward for standardized cancer pain treatment in a certain hospital, in order to evaluate the significance of establishment of demonstration ward. Methods:The consumption data of analgesic drugs in the hospital from January 2012 to December 2015 were collected and analyzed. 2 400 prescriptions were randomly sampled and evaluated before and after establishment of demonstration ward. Results: The DDDs of analgesic drugs was increased after establishment of demonstration ward,the DDDs of analgesic drugs in the first and the third steps was increased by 31.85%, 1.99% respectively. The number of unreasonable prescription was decreased, the percent of correct writing drug name was increased from 86.25% to95.17%, the percent of description and rationality of dosage and administration was respectively increased from 81.92%, 84.93% to 90.04%,93.28%.Conclusion: The establishment of demonstration ward for standardized cancer pain treatment had made the use of analgesic drugs more reasonable, and management of analgesic drugs prescription more standard.
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