[關(guān)鍵詞]
[摘要]
目的 分析天津市安定醫(yī)院苯二氮 類(BDZs)藥物的使用情況,促進精神藥品的合理使用。方法 從天津市安定醫(yī)院HIS系統(tǒng)中抽取2013年4月出院的487份病歷,對其中使用BDZs藥物的332份病歷進行回顧性分析。對患者性別、年齡、BDZs藥物的具體使用情況進行分類統(tǒng)計。結(jié)果 332份病歷中,男性173例(52.11%),女性159例(47.89%);41~60歲使用BDZs藥物高于其他年齡段。使用BDZs藥物的332份病歷中,以精神分裂癥患者居多,共216例(65.06%);患者用藥利于睡眠的210例,比例最高達54.54%;128份使用一種BDZs藥物,其中阿普唑侖的使用率最高,為28.91%。BDZs藥物與其他藥物聯(lián)用的病歷共204例,占調(diào)查病歷的61.44%,其中,BDZs藥物與抗精神病藥聯(lián)用比較高。結(jié)論 天津市安定醫(yī)院住院患者BDZs藥物的使用基本合理,但也存在使用率較高、使用時間較長、聯(lián)合用藥比例較大的現(xiàn)象,需提醒醫(yī)師、藥師注意。
[Key word]
[Abstract]
Objective To analyze the usage of benzodiazepines (BDZs) in Tianjin Anding Hospital and promote the rational usage of psychotropic drugs. Methods Patient records (332) of 487 discharged patients from Tianjin Anding Hospital in April 2013, which were drawn from the hospital HIS system, were retrospectively analyzed. The patients' gender, age, and usage of BDZs were classified statistically. Results In 332 patient records, 173 cases were male (52.11%), and 159 cases were female (47.89%). The usage of BDZs in 41— 60 ages group was higher than groups of other ages. In 332 cases of patients using BDZs, there were 216 (65.06%) cases for schizophrenia. Cases (210) took drugs to treat sleeping disorder, and the proportion was as high as 54.54%. Cases (128) only used one kind of BDZs, the highest utilization rate of alprazolam is 28.91%. Cases (204) used BDZs combined with other drugs, which accounted for 61.44%, and BDZs were mainly combined with antipsychotics. Conclusion The usage status of BDZs in Tianjin Anding Hospital is basically reasonable, but also has phenomenon of high utilization, long time of usage, and big proportion of the combination, which should be case the attention of physicians and pharmacists.
[中圖分類號]
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