目的 分析2014-2016年中國(guó)人民解放軍第一七四醫(yī)院麻醉藥品的使用情況，為臨床合理用藥提供參考。方法 對(duì)2014-2016年中國(guó)人民解放軍第一七四醫(yī)院麻醉藥品的使用數(shù)量、用藥金額及用藥頻度（DDDs）、日均費(fèi)用（DDC）以及序號(hào)比（B/A）進(jìn)行統(tǒng)計(jì)分析。結(jié)果 麻醉藥品的使用金額逐年增加，枸櫞酸芬太尼注射液的用量呈逐年下降趨勢(shì)，枸櫞酸舒芬太尼注射液、鹽酸羥考酮控釋片的用量呈逐年上升趨勢(shì)。硫酸嗎啡緩釋片、注射用鹽酸瑞芬太尼以及枸櫞酸舒芬太尼注射液的使用金額一直排在前列。硫酸嗎啡緩釋片的DDDs一直排在前位；枸緣酸芬太尼注射液的DDDs在第1、2位間波動(dòng)；枸緣酸舒芬太尼注射液則有明顯的增長(zhǎng)趨勢(shì)，2016年DDDs排在第1位；芬太尼透皮貼、哌替啶注射液的DDDs基本穩(wěn)定，鹽酸羥考酮控釋片的DDDs逐年增長(zhǎng)。各麻醉藥品3年的DDC保持穩(wěn)定，注射用鹽酸瑞芬太尼的DDC居首位，枸櫞酸舒芬太尼注射液次之。2014年硫酸嗎啡緩釋片、芬太尼透皮貼、2015和2016年的嗎啡片、2014-2016年磷酸可待因片的B/A均為1.00，同步性較好。結(jié)論 中國(guó)人民解放軍第一七四醫(yī)院麻醉藥品的使用基本合理，但個(gè)別藥品存在不合理現(xiàn)象。

Objective To analyze the utilization of narcotic drugs in No. 174 Hospital of PLA from 2014 to 2016, and provide reference for clinical rational drug use. Methods The amount, consumption sums, frequency of drug use (DDDs), defined daily cost (DDC), and drug sequence ratio (B/A) of narcotic drugs in No. 174 Hospital of PLA from 2014 to 2016 were calculated and analyzed. Results Consumption sums of narcotic drugs increased year by year. The amount of Fentanyl Citrate Injection showed a declining trend, while the amounts of Sufentanil Citrate Injection and Oxycodone Hydrochloride Controlled-release Tablets showed an upward trend year by year. Consumption sums of Morphine Sulfate Sustained-release Tablets, Remifentanil Hydrochloride for injection, and Sufentanil Citrate Injection remained at the front place. DDDs of Morphine Sulfate Sustained-release Tablets were always in the front, and DDDs of Fentanyl Citrate Injection fluctuated between the first and the second. DDDs of Sufentanil Citrate Injection showed an increasing trend, and ranked at the first place in 2016. DDDs of Fentanyl Transdermal Patches and Pethidine Hydrochloride Injection were basically stable. DDDs of Oxycodone Hydrochloride Controlled-release Tablets increased year by year. DDC of all narcotic drugs remained stable for three years. DDC of Remifentanil Hydrochloride Injection ranked the first, and Sufentanil Citrate Injection followed. B/A of Morphine Sulfate Sustained-release Tablets and Fentanyl Transdermal Patches in 2014, Morphine Tablets in 2015 and 2016, Phosphate Codeine Tablets from 2014 to 2016 were both 1.00, showing a good synchronization. Conclusion The use of the second class of psychotropic drugs in No. 174 Hospital of PLA is basically reasonable, but there are still some unreasonable use.

福建省教育廳中青年科技類項(xiàng)目（JAT170705）