热门期刊: 细胞研究(英文版)、 中华医学杂志(英文版)、国际临床研究杂志 等
某大型三甲医院抗精神病药的使用情况
Analysis on the use of antipsychotics in different age groups in a large grade A hospital
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DOI | |
刊名 |
Journal of International Psychiatry
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年,卷(期) | 2022, 49(3) |
作者 |
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作者单位 |
中南大学湘雅二医院 ; |
摘要 |
【摘要】 调查门诊抗精神病药的使用情况,为更好的推进临床合理用药提供参考依据。方法 通过分析门诊处方数据,对常用抗精神病药的使用频率、DUI、使用剂量、使用类型和方式以及使用者年龄、诊断等进行描述分析,评估抗精神药物使用的合理性和使用特点。结果 该院门诊使用的抗精神病药共12种,使用频率较高的分别是奥氮平、喹硫平、阿立哌唑、利培酮、氯氮平、舒必利,使用基本符合抗精神病药的治疗原则。各年龄段在抗精神病药物种类、药物剂量和联合用药上存在一定的差异。使用者的诊断分类以F20-F29(精神分裂症、分裂障碍和妄想性障碍)、F30-F39(心境障碍)、F40-F48(神经症性、应激相关的及躯体形式障碍)为主。结论 门诊抗精神病药的使用仍存在一些不规范的地方,儿童和老年人由于其特殊的生理机能和体质,在抗精神病药的选择上存在不同。
[Abstract] Objective To investigate the use of antipsychotic drugs in outpatient department, and to provide reference for promoting rational drug use in clinic. Methods Through statistical analysis of outpatient prescription data, the frequency of use, DUI, dosage, type and mode of use, age and diagnosis of commonly used antipsychotics were described and analyzed to evaluate the rationality and characteristics of use of antipsychotics. Results A total of 12 kinds of antipsychotic drugs were used in the outpatient department of the hospital, and the most frequently used drugs were olanzapine, quetiapine, aripiprazole, risperidone, clozapine and sulpirides. The DUI values of all drugs were less than 1, which basically met the treatment principle of antipsychotic drugs. There were some differences in the type, dosage and combination of antipsychotic drugs among different age groups. The main diagnostic categories of users are F20-F29 (Schizophrenia, schizotypal and delusional disorders), F30-F39 (Mood disorder), and F40-F48 (Neurotic, stressrelated and somatoform disorders). Conclusion There are still some irregularities in the use of antipsychotics in outpatient clinics. Children and the elderly are different in the choice of antipsychotics due to their special physiological functions and physical conditions.
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关键词 |
抗精神病药;年龄;处方
Antipsychotic Drug; Age; Prescription
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基金项目 | |
页码 | 425-428 |