住院精神疾病患者精神药物使用现况调查  

An survey of the usage of psychotropic drugs for 405 inpatients with psychiatric in metal hospitals of Xi'an

作　　者：何水红[1] 乔向阳 王晓英 张辉[1] 

机构地区：[1]陕西省西安市精神卫生中心,陕西西安710061 [2]陕西省西安市铁路医院新丰精神病院,陕西西安710608 [3]陕西省西安市东方医院,陕西西安710043

出　　处：《吉林医学》2011年第17期3467-3468,共2页Jilin Medical Journal

摘　　要：目的:了解西安地区精神卫生专科医院住院精神疾病患者的用药现状,为临床合理用药提供参考。方法:采用自行设计的问卷,随机调查西安地区3家不同等级的精神卫生专科医院,共调查405例住院患者的某一天用药情况。结果:405例住院患者中精神分裂症300例,心境障碍62例,器质性精神障碍25例,癔症12例,儿童少年期精神障碍3例,应激相关障碍2例,神经症1例;精神分裂症治疗中单一使用抗精神病药78.33%,最常用药物是奎硫平(42.2%)。结论:被调查医疗机构中住院精神疾病患者的用药是较合理的;非典型抗精神病药物使用占主导地位;抗胆碱能药物使用频率较低;苯二氮卓类(BZD)应慎重使用。Objective To investigate the situation of the psychotropic drugs usage in metal hospitals of Xi＇an,and to give a reference for rational drug use.Methods Using the hospital-made questionnaire,405 psychiatric inpatients from 3 different metal hospitals of Xi＇an were implemented for the usage of psychotropic drugs in a day.Results There were 300 schizophrenics,62 mood disorder patients,25 organic mental disorders patient,12 hysteria patients,3 child and adolescent mental disorders patients,2 stress related disorders patients and 1 neurosis patient in the survey.The proportion of the single using antipsychotics in the treatment of schizophrenia was 78.33%.The most commonly used drug was Quetiapine（42.2%）.Conclusion The usage of psychotropic drugs in the 3 different mental hospitals was rational.The usage of atypical antipsychotics dominated the whole psychotropic drug usage.The anticholinergic drugs were rarely used.The BZD should be used cautiously.

关 键 词：精神疾病 住院患者 精神药物 现况调查 

分 类 号：R749[医药卫生—神经病学与精神病学]