目的 評(píng)價(jià)鄭州市骨科醫(yī)院麻醉性鎮(zhèn)痛藥物的使用情況，為臨床合理用藥提供參考。方法 調(diào)取2014-2016年麻醉性鎮(zhèn)痛藥物使用情況的相關(guān)信息，對(duì)用藥金額、用藥頻度（DDDs）、日限定費(fèi)用（DDC）、藥品排序比（B/A）等指標(biāo)進(jìn)行統(tǒng)計(jì)和分析。結(jié)果 麻醉性鎮(zhèn)痛藥物的銷售金額呈逐年上升趨勢(shì)，地佐辛注射液、枸櫞酸舒芬太尼注射液（0.05 mg）、注射用鹽酸瑞芬太尼、鹽酸羥考酮注射液和氨酚雙氫可待因片依次排前5位；氨酚雙氫可待因片、枸櫞酸舒芬太尼注射液（0.05 mg）、注射用鹽酸瑞芬太尼、地佐辛注射液、鹽酸曲馬多緩釋片的DDDs穩(wěn)居前5位。地佐辛注射液的DDC最高，鹽酸嗎啡注射液的DDC最低。2016年氨酚雙氫可待因片和枸櫞酸舒芬太尼注射液（0.05 mg）的B/A相較于前兩年變化較大。結(jié)論 鄭州市骨科醫(yī)院麻醉性鎮(zhèn)痛藥物的應(yīng)用基本合理，但個(gè)別藥物費(fèi)用較高，值得關(guān)注。

Objective To investigate the utilization of narcotic analgesics in Zhengzhou Orthopaedics Hospital, and provide reference for rational drug use in clinic. Methods The data of utilization of narcotic analgesics in Zhengzhou Orthopaedics Hospital from 2014 to 2016 were selected, and consumption sums, frequency of drug use (DDDs), defined daily cost (DDC), and drug sequence ratio (B/A) were calculated and analyzed. Results Consumption sum of narcotic analgesics showed a rising trend year by year, and the top five were still Dezocine Injection, Sufentanil Citrate Injection (0.05 mg), Remifentanil Hydrochloride for injection, Oxycodone Hydrochloride Injection, and Aminophen Bihydrocodeine Tablets. DDDs of Aminophen Bihydrocodeine Tablets, Sufentanil Citrate Injection (0.05 mg), Remifentanil Hydrochloride for injection, Dezocine Injection, and Tramadol Hydrochloride Sustained Release Tablets ranked the top 5. DDC of Dezocine Injection was the highest, and DDC of Morphine Hydrochloride Injection was the lowest. B/A of Aminophen Bihydrocodeine Tablets and Sufentanil Citrate Injection (0.05 mg) in 2016 were changed more compared with the last two years. Conclusion The application of narcotic analgesics is basically rational in Zhengzhou Orthopaedics Hospital, but the cost of certain narcotic analgesics is higher, which is worthy of concern.