293例二类精神药品门诊处方分析

摘要

Objective To investigate the utilization status of the second-class psychotropic drugs among 293 subjects so as to provide references for their clinical rational use. Methods All the outpatient prescriptions of the second category of psychotropic drugs between January 2012 and March 2012 were provided by the First Hospital Affiliated to Henan University of Science & Technology. The psychotropic prescriptions statistics was performed according to sex and age range. The psychotropic drug continuous consumption was analyzed. The frequency of drug use(DDDs) and drug use index(DUI) were calculated and analyzed. Results Among 293 cases outpatient prescriptions of the second category of psychotropic substances, DUI of 5 drugs was not more than 1.0, DUI of 1 drug was slightly larger than 1.0; the Frequency of drug use for old patients more than 60 years was higher than that of most other patients. The drug use time of these old patients was longer than others. Conclusions The clinical use of 293 cases second category of psychotropic drugs was basic rational, but the drug use time of some old patients was too long, some of them showed drug abuse and psychotropic dependence, this status should attract the clinicians' attention.%　　目的分析评价我院293例二类精神药品的使用情况,为精神药品的临床合理用药提供参考.方法选取河南科技大学第一附属医院2012年1-3月份门诊精神药品处方,按性别及年龄区间的处方数和连续用药情况等进行统计,并对各药的用药频度(DDDs)和药物利用指数(DUI)进行分析.结果在293例第二类精神药品中,5种药品的DUI小于1.0,有1种大于1.0；大于60岁的患者使用率高,连续用药时间也较长.结论我院二类精神药品使用基本合理,但一部分老年患者连续用药过长,呈现滥用甚至出现精神依赖性情况,应引起临床医师的高度重视.