重庆地区39家医院2012-2014年抗肿瘤基本药物使用分析 点击下载
论文标题: 重庆地区39家医院2012-2014年抗肿瘤基本药物使用分析
英文标题:
中文摘要: 目的:为抗肿瘤基本药物临床合理使用提供参考。方法:采用销售金额、用药频度(DDDs)、日均费用(DDC)和排序比(B/A)为指标的分析方法,对重庆地区39家医院2012-2014年抗肿瘤基本药物的数据进行统计、分析。结果:重庆地区39家医院2012-2014年抗肿瘤基本药物总销售金额由10 083.65万元增长至15 186.46万元,年均增长率为22.72%;3年总销售金额为37 952.45万元,排名前10位的药品销售金额之和为36 742.24万元,占总销售金额的96.81%;其中,排名前3位的是紫杉醇、奥沙利铂和氟尿嘧啶。2012-2014年各药品DDDs有一定的变化,排名靠前的有替加氟、紫杉醇和环磷酰胺等,增长较快的是紫杉醇(口服),年均增长率为59.63%;而他莫昔芬则呈逐年下降趋势,年均下降5.14%。紫杉醇、奥沙利铂和依托铂苷DDC较高。奥沙利铂、氟尿嘧啶和阿糖胞苷各年度B/A均<1.00。结论:重庆地区39家医院2012-2014年抗肿瘤基本药物的销售金额和DDDs都呈较合理的增长速度,DDC相对稳定;临床使用主要集中在适应证广、价格昂贵的药品上。
英文摘要: OBJECTIVE: To provide reference for rational use of anti-tumor essential medicine in the clinic. METHODS: The application of anti-tumor essential medicine in 39 hospitals from Chongqing area during 2012-2014 was analyzed statistically in respects of consumption sum, DDDs, DDC and B/A. RESULTS: The total consumption sum of anti-tumor essential medicine in 39 hospitals from Chongqing area during 2012-2014 increased from 10 083.65 ten thousand yuan to 15 186.65 ten thousand yuan, with annual increase rate of 22.72%. 3-year total consumption sum was 37 952.45 ten thousand yuan, and the sum of consumption sum of top 10 medicines was 36 742.24 ten thousand yuan, accounting for 96.81%; top 3 medicines were paclitaxel, oxaliplatin and fluorouracil. During 2012-2014, DDDs had changed to certain extent, and the front medicines contained tegafur, paclitaxel and cyclophosphamide, etc; the most increment medicine was paclitaxel (oral), whose annual growth rate was 59.63%; that of tamoxifen decreased year by year, with annual decrease rate of 5.14%. DDC of paclitaxel, oxaliplatin and etoposide were the higher others. Annual B/A of oxaliplatin, fluorouracil and cytosine arabinoside were all lower than 1.00. CONCLUSIONS: The lonsumption sum and DDDs of anti-tumor essential medicine had increased reasonably in 39 hospitals from Chongqing area during 2012-2014, while their DDC had kept stable. Main medicines used in the clinic are suitable for numerous indications, and are expensive.
期刊: 2016年第27卷第20期
作者: 韩宪忠,范炜,金蜀蓉,丁家昱 ,黄堃
英文作者: HAN Xianzhong,FAN Wei,JIN Shurong,DING Jiayu,HUANG Kun
关键字: 抗肿瘤药;基本药物;销售金额;用药频度;用药分析
KEYWORDS: Anti-tumor medicine; Essential medicine; Consumption sum; DDDs; Medication analysis
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