摘要
目的调查我院住院精神疾病患者的诊断和药物使用情况,提高医院临床合理用药水平。方法于2019年10月6日对我院住院的218例精神疾病患者的临床诊断及用药情况进行统计分析。统计入组患者疾病诊断与分类情况,抗精神病药物联合使用情况,单一抗精神病药物使用情况,药物使用频率及剂量,缓解药物副反应用药情况。结果入组患者中,精神分裂症患者最多,其次为情感性精神障碍患者。两种抗精神病药物联合使用最多,其次为单用一种抗精神病药物,3种及以上抗精神病药物使用较少。采用单一抗精神病药物治疗者共86例(39.45%),最常用药物为奥氮平、喹硫平。入组患者所有药物使用频率及剂量均在该药的推荐使用范围之内,合并应用治疗便秘、改善肝功能类药物稍多。结论我院患者药物的使用方案多数较为合理,使用剂量均在规定范围内,非典型抗精神病药物的使用占主导地位,两种抗精神病药物联用情况较多。
Objective To investigate the diagnosis and drug use of inpatients with mental illness in our hospital,and to improve the level of clinical rational drug use in the hospital.Methods On October 6,2019,a statistical analysis of the clinical diagnosis and medication status of 218 patients with mental illnesses hospitalized in our hospital was conducted.Analyze the diagnosis and classification of diseases of the enrolled patients,the combined use of antipsychotic drugs,the use of single antipsychotic drugs,the frequency and dosage of drug use,and the use of drugs to relieve side effects of drugs.Results Among the enrolled patients,schizophrenia patients were the most,followed by patients with affective mental disorders.The combination of two antipsychotics was the most used,followed by a single antipsychotic,and three or more antipsychotics were used less frequently.A total of 86 patients(39.45%)were treated with a single antipsychotic drug,and the most commonly used drugs were olanzapine and quetiapine.The frequency and dosage of all drugs in the enrolled patients were within the recommended range of the drug,and the combined use of drugs for constipation and liver function improvement was slightly more.Conclusions Most of the medications used in our hospital are relatively reasonable,and the dosages are within the prescribed range.The use of atypical antipsychotics is dominant,and the combination of two antipsychotics is more common.
作者
贾梅志
陈元旺
王瑛
赵小雪
宋亚玲
杨叶芃
Jia Meizhi;Chen Yuanwang;Wang Ying;Zhao Xiaoxue;Song Yaling;Yang Yepeng(Hospitol of Joint Logistics Support Force of PLA,Beijing 100094,China)
出处
《临床心身疾病杂志》
CAS
2021年第1期110-113,共4页
Journal of Clinical Psychosomatic Diseases
关键词
精神疾病患者
抗精神病药物
诊断
时点调查
patients with mental illness
antipsychotic drugs
diagnosis
time-point survey
