107例老年精神病人日应用镇静催眠药物的临床分析

Clinical analysis of sedative-hypnotics used in 107 geriatric psychiatric patients

目的了解我院住院老年精神病人镇静催眠药使用情况。方法对2010年2月22日我院60岁以上老年精神病人镇静催眠药用药情况进行调查分析。结果我院老年住院精神病人使用镇静催眠药频度为70.09%,目前仍以苯二氮芷卓类为主,使用频度为62.62%,构成比89.33%,其中以氯硝安定最为常见,使用频度为40.19%,构成比57.33%;主要用于情感障碍(83.33%)及精神分裂症(57.14%);时间<4周32例(42.67%),4周～2个月37例(49.33%),>2个月6例(8.00%)。结论我院使用镇静催眠类药物总体上比较合理,但仍存在连续使用的问题,应引起重视,避免滥用及成瘾的可能。

Objective To investigate the use of sedative-hypnotics in the geriatric psychiatric patients in our hospital.Methods On February 22,2010 the geriatric psychiatric patients in our hospital were investigated to analyze the use of sedative-hypnotics.Results The using frequncy of sedativs-hypnotics in the geriatric patients in our hospital was 70.09%.BDZs were the main drugs at present with the frequncy of 62.62% and constituent ratio 89.33%.Among BDZs clonazepam was the most frequently used with the frequncy of 40.19% and constituent retio of 57.33%.Sedative-hypnotics were mainly used in mental disorders due to brain damage（100%）and mood disorders （83.33%）.The medication time was less than 6 weeks in 30 cases（40%）,between 6 weeks to 3 months in 33 cases（44%）and more than 3 months in 12 cases（16%）.Conclusion The use of sedative-hypnotics in our hospital was reasonable generally.At the same time,the use of sedative-hypnotics continually should be payed attention to aviod abuse and addiction.