마약성 진통제의 사용양상에 관한 서술적 조사연구: 한 대학병원의 경우

Title
마약성 진통제의 사용양상에 관한 서술적 조사연구: 한 대학병원의 경우
Other Titles
A Descriptive Research on Drug Use Pattern of Narcotic Analgesics: a Case of University Hospital in Korea
Author(s)
유봉규라미숙[라미숙]
Keywords
narcotic analgesics; drug use pattern; morphine; oxycodone; cancer pain
Issue Date
201103
Publisher
한국임상약학회
Citation
한국임상약학회지, v.21, no.1, pp.30 - 35
Abstract
The objective of this study was to find out drug use pattern of narcotic analgesics in university hospitals in Korea. A university hospital located in Kyungbuk province was chosen for this study. The drug use pattern was analyzed in terms of ingredient, administration route, patient type, and attending department. Amount of drug usage was counted by unit dose defined by the number of ampule or vial for injectable, tablet or capsule for oral, and each for patch preparations. Result showed that 11 narcotic analgesic ingredients were used during 2007-2009, and the drug usage was increased by about 20% annually during the period. Proportion of oral preparations used for pain management was about two third of all narcotic analgesics usage and kept increasing during the period. Proportion of the drug usage for outpatients was also steadily increased. Notably, the usage of oral preparations of oxycodone, morphine, and hydromorphone was rapidly increased for the management of cancer pain while the usage of codeine and codeine-containing composite preparations for cancer pain were minimal (<10%). About 90% of all narcotic analgesics were used by physicians in Internal Department, especially in Oncology Division of the Department. These findings suggest that pain management is becoming more aggressive and in agreement with WHO's guidelines regarding selection of administration route. However,in terms of 3-step ladder for cancer pain management, the drug use pattern was not congruent to WHO's guidelines. Therefore, in conclusion, it appears that physicians need to try to be congruent to the guidelines when using narcotic analgesics for cancer pain.
URI
http://hdl.handle.net/YU.REPOSITORY/25475
ISSN
1226-6051
Appears in Collections:
약학대학 > 약학부 > Articles
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