某院住院患者麻醉药品和第一类精神药品剩余量分析OA
Analysis of Remaining Amounts of Anesthetics and Class Ⅰ Psychotropic Drugs in Inpatients of A Certain Hospital
目的 探讨某院住院患者麻醉药品和第一类精神药品剩余量情况.方法 选取 2024 年 8 月至 2025 年 2 月罗定市人民医院住院部中心药房麻醉药品、第一类精神药品处方 9 211 张,统计麻醉、第一类精神药品使用情况,并对药品的剩余量进行分析.结果 9 211 张处方中,共7 277 张处方使用麻醉药品,使用药品10 623 支,其中使用量最多的为注射用盐酸瑞芬太尼,占比为38.43%,使用量最少的为盐酸麻黄碱注射液,占比为0;剩余量最多的为盐酸哌替啶注射液,占46.15%,剩余量最少为注射用盐酸瑞芬太尼,占比为0;剩余量少于1/2 最多为枸橼酸舒芬太尼注射液,占 4.86%,最少为盐酸哌替啶注射液与注射用盐酸瑞芬太尼,占比均为0;麻醉药品使用最多的是麻醉科,使用量最少的是骨科、感染科及消化内科,剩余量与剩余量少于1/2 最多的科室为感染科、消化内科及纤维支气管镜室,剩余占比均达到了 100%.共1 934 张处方使用第一类精神药品,使用药品 5 438 支,其中使用量最多的为咪达唑仑注射液,占比 89.17%,剩余量和剩余量少于 1/2 最多的均为盐酸艾司氯胺酮注射液,占比均为13.90%;第一类精神药品使用量最多的是重症医学科,使用最少的科室为消化内科、普一外科,而剩余量和剩余量少于 1/2 最多的科室为消化内科、普胸外科、普一外科、老年医学科以及纤维支气管镜室等,剩余占比均达到了100%.结论 在本院使用麻醉药品、第一类精神药品的住院患者中,药品剩余问题仍存在,主要药物为枸橼酸舒芬太尼注射液和盐酸艾司氯胺酮注射液,医院应加强药品管理,合理选择药品规格.
Objective To explore the remaining quantity of anesthetic drugs and first-class psychotropic drugs among inpatients in a certain hospital.Methods A total of 9 211 prescriptions for anesthetic drugs and first-class psychotropic drugs in the central pharmacy of the inpatient Department of Luoding People's Hospital from August 2024 to February 2025 were selected.The usage of anesthetic drugs and first-class psychotropic drugs was statistically analyzed,and the remaining quantities of the drugs were also analyzed.Results Among the 9 211 prescriptions,a total of 7 277 prescriptions used anesthetic drugs,with 10 623 vials used.Among them,the one with the largest usage was remifentanil hydrochloride for injection,accounting for 38.43%,and the one with the smallest usage was ephedrine hydrochloride injection,accounting for 0.The largest remaining amount was pethidine hydrochloride injection,accounting for 46.15%,and the smallest remaining amount was remifentanil hydrochloride for injection,accounting for 0.The remaining amount was less than half.The largest was sufentanil citrate injection,accounting for 4.86%,and the smallest was pethidine hydrochloride injection and remifentanil hydrochloride for injection,both accounting for 0.The department that uses the most anesthetic drugs is the anesthesiology department,while the departments that use the least are the Second Department of Orthopedics,the Department of Infectious Diseases and the Department of Gastroenterology.The departments with the most remaining drugs or less than half of the remaining drugs are the Department of Infectious Diseases,the Department of Gastroenterology and the Fiberoptic Bronchoscopy Room,with the remaining proportion all reaching 100%.A total of 1 934 prescriptions used Jingyi drugs,with 5 438 vials used.Among them,midazolam injection had the highest usage volume,accounting for 89.17%,while Esketamine Hydrochloride injection had the largest remaining volume or less than half of the remaining volume,both accounting for 13.90%.The department with the highest usage of the first category of psychotropic drugs is the critical Care medicine department,while the departments with the least usage are the Gastroenterology Department and the General First Surgery Department.The departments with the largest surplus or surplus less than half are the Gastroenterology department,the General Thoracic Surgery Department,the General First Surgery Department,the Geriatrics Department,and the fiberoptic Bronchoscopy Room,etc.,with the remaining proportion all reaching 100%.Conclusion Among the inpatients in our hospital who use anesthetic drugs and first-class psychotropic drugs,the problem of drug surplus still exists.The main drugs are sufentanil citrate injection and esketamine Hydrochloride Injection.The hospital should strengthen drug management and rationally select drug specifications.
陈思华
罗定市人民医院药学部,广东 云浮 527200
医药卫生
麻醉药品第一类精神药品住院患者剩余量
Anesthetic drugsClass Ⅰ psychotropic drugsHospitalized patientsRemaining quantity
《中国药物经济学》 2026 (1)
94-97,4
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