摘要
目的 介绍西部少数民族地区医疗机构药物滥用现状和特点,建立符合当地医疗机构药物滥用风险信号监测和挖掘工作方法,以期为民族地区医疗机构麻醉药品和精神药品监管及临床合理用药提供参考。方法 参照国家药品不良反应监测中心《医疗机构药物滥用监测工作手册(试行)》,采用回顾性研究及实时监测方法对药物滥用风险信号进行挖掘与分析。结果 麻醉药品和精神药品是患者易滥用的主要药物,占易产生依赖药物的90.9%,其中仅艾司唑仑片占62.0%;睡眠医学科等七大科室为麻醉药品和精神药品主要开取科室;全年开取的麻醉药品及精神药品处方中,异常处方发生率为2.7%。结论 民族地区医疗机构药物滥用监测工作制度及方法体系不够完善,建议政府职能部门从医疗机构麻醉药品和精神药品管理工作流程优化、处方信息管理系统建设、信息共享机制创建等方面加强指导,进一步健全民族地区医疗机构药物滥用监测信息网,切实提高合理用药水平。
Objective This paper introduces the current situation and characteristics of drug abuse in medical institutions of western ethnic minority region,and to establish a method for monitoring and mining drug abuse risk signals in line with local medical institutions,so as to provide reference for the supervision of narcotic drugs and psychotropic substances in medical institutions in ethnic minority areas and for rational clinical use of drugs.Methods Referring to the "Handbook of Drug Abuse Monitoring in Medical Institutions(Trial)" issued by the National ADR Monitoring Center,the risk signals of drug abuse were mined and analyzed by retrospective research and real-time monitoring methods.Results Narcotic drugs and psychotropic drugs were the main drugs that patients tend to abuse,accounting for 90.9% of the drugs that were easy to produce dependence,among which estazolam alone accounted for 62.0%;Seven major departments,including the department of Sleep Medicine,are the main departments for obtaining narcotic drugs and psychotropic drugs.Among the prescriptions of narcotic drugs and psychotropic drugs issued throughout the year,the incidence of abnormal prescriptions was 2.7%.Conclusion The work system and method system of drug abuse monitoring in medical institutions in ethnic minority region are inadequate.It is suggested that government functional departments should strengthen guidance from the aspects of optimizing the work flow of narcotics and psychotropic drugs management in medical institutions,building the prescription information management system,creating the information sharing mechanism,etc,and further improve the drug abuse monitoring information network in medical institutions in ethnic minority region,which could effectively improve the level of rational drug use.
作者
曹子菁
韦敬土
王明扬
班炳坤
CAO Zi-jing;WEI Jing-tu;WANG Ming-yang(ADR Monitoring and Evaluation Center of Qiannan Prefecture,Duyun 558000,China)
出处
《中国处方药》
2023年第8期68-71,共4页
Journal of China Prescription Drug
基金
贵州省药品监督管理局项目。
关键词
哨点医院
医疗机构
药物滥用
麻醉药品
精神药品
Sentinel hospitals
Medical institution
Drug abuse
Narcotic drugs
Psychotropic drugs Journal of China Prescription Drug Vol.21 No.8
作者简介
通信作者:班炳坤,Email:409002278@qq.com。
