目的 分析2015-2017年天津醫(yī)科大學第二醫(yī)院門診麻醉藥品的使用情況，為麻醉藥品科學應用提供依據(jù)。方法 對2015-2017年天津醫(yī)科大學第二醫(yī)院院麻醉藥品的使用量、銷售金額、用藥頻度（DDDs）、日均費用（DDC））和排序比（B/A）等進行統(tǒng)計分析。結果 常用麻醉藥品品種穩(wěn)定，麻醉藥品的銷售金額和構成比均呈先升后降趨勢；枸櫞酸舒芬太尼注射液、鹽酸羥考酮緩釋片（40 mg）、硫酸嗎啡緩釋片（30 mg）、鹽酸布桂嗪片（40 mg）、DDDs呈較大幅度增長，硫酸嗎啡緩釋片（60 mg）、鹽酸布桂嗪注射液、鹽酸丁丙諾啡舌下片的則減少；麻醉藥品的DDC基本保持不變；硫酸嗎啡緩釋片（30 mg）、硫酸嗎啡緩釋片（60 mg）和鹽酸羥考酮緩釋片（40 mg）的B/A有所下降，其余藥品均上升。結論 天津醫(yī)科大學第二醫(yī)院門診麻醉藥品的使用基本合理，但仍存在一些問題，需持續(xù)改進。

Objective To analyze the application of narcotic drugs in outpatient of the Second Hospital of Tianjin Medical University from 2015 to 2017, and to provide reference for rational drug use in clinic. Methods The amount, consumption sum, frequency of drug use (DDDs), and defined daily cost (DDC) of narcotic drugs and drug sequence ratio (B/A) in outpatient of the Second Hospital of Tianjin Medical University from 2015 to 2017 were calculated and analyzed. Results The main kind of narcotic drugs remained stable, and the consumption sum and constituent ratios showed an increasing trend and then decreasing trend. DDDs of Sufentanil Citrate Injection, Oxycodone Hydrochloride Prolonged-release Tablets (40 mg), Morphine Sulfate Sustained-release Tablets (30 mg), and Bucinazine Hydrochloride Tablets (40 mg) were significantly increased. DDDs of Morphine Sulfate Sustained-release Tablets (60 mg), Bucinnazine Hydrochloride Injection, and Buprenorphine Hydrochloride Sublingual Tablets were reduced. DDC of narcotic drugs were stable substantially. B/A of Morphine Sulfate Sustained-release Tablets (30 mg), Morphine Sulfate Sustained-release Tablets (60 mg), and Oxycodone Hydrochloride Sustained-release Tablets (40 mg) were decreased, while others were increased. Conclusion The utilization of narcotic drugs in outpatient of the Second Hospital of Tianjin Medical University is rational on the whole, but there are still some problems, which needs further efforts to strengthen the management and intervention.