摘要
本文对综合性医院的精神药物5 a前后的使用状况进行抽样调查比较。结果表明,北京医科大学第三临床医学院24 h日处方量1986年平均为1475张,1991年为1821张。增加23.5%。精神药物处方分别占总处方比例的5.12%和4.82%,波动不大。使用精神药物比例最高的是神经科和内科。舒乐安定和安定1986年和1991年一直占全部调查的精神药物处方的84%左右,提示苯二氮类的使用优势持续存在,但舒乐安定的使用率已高于安定。不合理使用2-3种精神药物处方尚未杜绝,仍需注意。本文还对主要科室使用精神药物的原因进行了讨论。
Comparative analysis of clinical utilization of psychoactivc drugs (PADs) in The 3rd School of Clinical Medicine, Beijing Medical University (BMU) between 1986 and 1991 (5 years apart) was carried out. The results showed that the average number of prescriptions per day was 1475 in 1986 and 1821 in 1991 increased by 23. 5%. However, there was almost no change in PADs prescriptions between 1986(taking 5.12% in the total prescriptions) and 1991(4. 82% in the total prescriptions). The departments of Neurology and Internal Medicine were the biggest consumers of PADs. The consumption of eurodin and diazepam was stable around 84% in PADs both in 1986 arid 1991 indicating that the superiority of benzodiazepines persisted continuously. But the consumption of eurodin had increased in 1991, which showed there was still problem of unreasonable use of 2-3 PADs. This paper also discussed the reasons for using PADs in some major departments.
