某专科医院精神科住院病人用药时点调查  

Inpatient utilization of psychotropic drugs: A time- point survey of psychiatry in a mental hospital of zhongshan city

作　　者：温全胜 卢文芬 厉倬学 孙录 

机构地区：[1]中山市第三人民医院,528540

出　　处：《四川精神卫生》2014年第2期151-153,共3页Sichuan Mental Health

基　　金：中山市医学科研基金项目(2013A020186)

摘　　要：目的了解中山市第三人民医院住院精神障碍患者的药物应用情况及其用药规律。方法采用一日法,以2013年5月14日为时间节点,对该院住院病人的用药情况进行分析,总结其用药规律。结果①单用抗精神病药、心境稳定剂、抗焦虑药/镇静催眠药、抗抑郁药和苯海索分别占60.53%、27.70%、30.74%、7.40%和14.23%,未使用抗精神病药、心境稳定剂、抗焦虑药/镇静催眠药、抗抑郁药和苯海索分别占5.50%、69.83%、66.98%、92.60%和85.77%;②使用频率居前5位的抗精神病药分别为利培酮174例(33.02%),氯氮平143例(27.13%),奥氮平107例(20.30%),阿立哌唑75例(14.23%),喹硫平68例(12.90%)。居前3位的心境稳定剂分别为丙戊酸钠110例(20.87%),奥卡西平22例(4.17%),丙戊酸镁19例(3.60%)。结论非典型抗精神病药和新型抗抑郁药已成为临床一线用药,临床用药总体较规范,但仍需要注意苯海索和苯二氮艹卓类(BDZ)药物的合理使用。Objective To investigate the status and regularities in the utilization of psychotropic drugs for the third people＇s hospital of zhongshan hospital patients.Methods The durg use was analyzed,and the regularity of prescription was summarized for overall hospitalized patients in our hospital at the same day,i.e.May 14^th.2013.Results The top 5 antipsychotic drugs were Risperidone,Clozapine,Olanzapine,Aripiprazole and Quetiapine.The top 3 mood stabilizers were Sodium Valproate,Oxcarbazepine and Magnesium Valproate.Conclusion Atypical antipsychotic drugs have become the first line antipsychotic drugs.The medication scheme for psychotic inpatients in this hospital is rational on the whole.But more attention should be paid to make reasonable use of such medicine as Antane and Benzodiazeyzine.

关 键 词：精神药物 住院 时点调查 

分 类 号：R749[医药卫生—神经病学与精神病学]