2013年1～6月我院门诊精神药品使用分析  

Application Analysis of Prescriptions of Psychotropic Substances of Our Hospital from January to June 2013

作　　者：郭虎宁[1] 钱小亮[1] 封小娜[1] 楚建杰[1] 朱智静 文爱东[1] 

机构地区：[1]第四军医大学西京医院药剂科,西安710032

出　　处：《药物流行病学杂志》2014年第9期559-561,共3页Chinese Journal of Pharmacoepidemiology

摘　　要：目的：了解我院门诊精神药品的使用情况,以提高门诊处方质量和合理用药水平。方法：采用WHO推荐的用药频度（DDDs）和药物利用指数（DUI）等参数,对我院2013年1～6月心身科门诊处方20407张进行回顾性分析。随机抽取1030张处方进行合理用药点评。结果：我院门诊使用的10种精神药品的DUI≤1。女性患者使用量所占比例高于男性患者,占56.31%,且主要分布在18～39岁;使用频率较高的依次是盐酸帕罗西汀片、盐酸舍曲林片、盐酸文拉法辛缓释片。结论：我院精神药品使用基本合理,无滥用现象,但仍存在用药时间过长、联合用药明显、个别药物使用频率高等现象,需要进一步加强管理,确保处方用药合理。Objective ：To study the utilization of psychotropic substances in our hospital so as to improve the out- patient prescription drug quality and rational administration. Methods： A total of 20407 psychotropic substance prescrip- tions ,which collected from January to June in 2013 in the outpatients of our hospital, were analyzed by DDDs and DUI rec- ommended by WHO. 1 030 sampling prescriptions were given review of rational drug use. Results： The DUIs of 10 kinds of psychotropic drugs used in outpatient were all less than or equal to 1.0. The proportion of female patients was higher than that of male patients, accounting for 56.31%, which was distributed mainly in 18-39 years of age; the top three frequency of utilization of psychotropie substances were paroxetine hydrochloride tablets, sertraline hydrochloride tablets, venlafaxine hydrochloride sustained-release tablets. Conclusion：The use of psychotropic drugs in our hospital was basically rational, nonabuse, but there were still too long medication, combination therapy significantly, individual and high frequency of drug use, should be further standardized in order to ensure the rational drug usage in the prescription.

关 键 词：精神药品 门诊 药物利用 合理用药 

分 类 号：F407.7[经济管理—产业经济]