流浪精神疾病患者住院期间精神药物使用的一日调查.pdfVIP

中国药物应用与监测 2013 年12月第10卷第6 期 Chinese Journal of Drug Application and Monitoring, Vol.10, No.6, December 2013 流浪精神疾病患者住院期间精神药物使用的一日调查 刘　昀（广州市民政局精神病院，广东广州 510430 ） [摘要]　目的：调查分析本院救治病区流浪精神疾病住院患者的药物治疗情况，为临床合理用药提供参考。方法：采用一日 法，对精神患者的药物使用日剂量、联合用药情况、治疗方案等方面进行统计分析。结果：351 例精神疾病患者中，药物使用 日剂量排序前3 位的药品为利培酮208 例（38.5% ）、氯丙嗪51 例（9.4% ）、苯海索44 例（8.1% ）；本院第二代抗精神病药物占主 导地位，利培酮是首选治疗药物；精神药物的使用以单药为主，有207 例（59.0% ），二联用药112例（32.0% ）。结论：本院救 治病区精神药物的使用结构合理，基本符合我国目前精神药物的应用趋势。 [关键词]　精神疾病住院患者；精神药物；利培酮；用药调查 [ 中图分类号]　R971 [ 文献标识码]　A　 [ 文章编号]　1672 – 8157(2013)06 – 0339 – 03 The one-day investigation of drug use in vagrant mental inpatients during hospitalization LIU Yun(Psychiatric Hospital, the Civil Affairs Bureau of Guangzhou, Guangzhou 510430, China) [ABSTRACT]　Objective: To investigate and analyze the utilization of antipsychotic drugs in vagrant mental inpatients of our rescue ward in order to provide the reference for rational drug use. Methods: One-day investigation was adopted to analyze the daily dose, drugs combination, medication therapy of inpatients in our hospital. Results: Among 351 cases of mental patients, the top 3 drugs in terms of daily dose were risperidone (208 cases, 38.5%), chlorpromazine (51 cases, 9.4%) and rihexyphenidy (44 cases, 8.1%). The second generation antipsychotic drugs have replaced traditional antipsychotic drugs and took up dominant position in the clinical treatment with single category (207 cases, 59.0%), and risperidone was the preferred drug. There were 112 cases in the two-drug combination, accounting for 32.0%. Conclusion: The utilization of antipsychotic drugs in our hospital was reasonable and in accordance with the developmental trend of antipsychotics in our country. [KEY WORDS]　Psychiatric inpatients; Psychotropic drugs; Risperidone; Medication investigation 我院主要收治一些病史不明、病情复杂或伴有躯 当日每种精神药物的实际使用剂量计算。对使用氯 体疾病、无家属陪同、在外流浪的精神疾病患者。为 丙嗪、氟哌