Objective To investigate the antipsychotic usage of schizophrenic inpatients who were in special hospitals at Xi' an area, and to provide reference for clinical rational administration. Methods 300 schizophrenic inpatients were evaluated with questionnaire to investigate stares of antipsychotic usage in one day. The patients who came from 3 different grade psychotic special hospitals were checked randomly. Results 78.33％ of the patients were treated with mono-pharmacy. 71.46％ were treated with untypical antipsychotic; 28.54％ cases were treated with typical antipsychotic. The subsequence follow usage frequency was quetiapine (36.19％), risperdone (14.66％), aripiprazole (13.74％), clozapine (6.87％), and haloperidol injection (6.87％). Conclusion The antipsychotic usage was reasonable, untypical antipsychofic is the major thetapeufic medicine, the usage frequency of anticholinergic agents was low, and using benzodiazepines should be cautious.%目的 调查西安地区精神卫生专科医院住院精神分裂症患者的精神药物使用现状,为临床合理用药提供参考.方法 采用自行设计的问卷,随机调查西安地区3家不同等级的精神卫生专科医院,共调查300例住院分裂症患者某一日用药情况.结果 单一使用抗精神病药治疗者占78.33%,非典型抗精神病药使用率为71.46%,典型抗精神病药使用率为28.54%;最常用的前五位药物是奎硫平(36.19%)、利培酮(14.66%)、阿市哌唑(13.74%)、氯氮平(6.87%)、氟哌啶醇注射液(6.87%).结论 随机调查的西安地区精神卫生专科医院住院精神分裂症患者的用药是较合理的;非典型抗精神病药物使用占主导地位;抗胆碱能药物使用频率较低;苯二氮卓类(BZD)应慎重使用.
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