精神科223例住院患者用药调查分析

Drug Use in Psychiatric Inpatients:Analysis of 223 Cases

目的:了解北京市顺义区精神病医院精神病住院患者药物使用情况并进行合理性分析。方法:采用1日法对北京市顺义区精神病医院住院精神病患者全部用药记录及病例资料进行调查。结果:新型抗精神病药约占全部抗精神病药的61%,并有逐年增多的趋势;绝大多数为单药治疗,个别难治性病例联合两种抗精神病药;合并躯体疾病的药物以抗高血压药、调节血脂药、抗糖尿病药为主;抗精神病药及合并的躯体疾病用药使用剂量都在推荐的安全剂量之下。结论:精神科住院患者用药基本合理,抗精神病药选择多样化、新型化,并同时更加关注药物的安全性、不良反应及躯体合并症的治疗,提高患者的整体生活质量。

OBJECTIVE： To investigate the drug utilization and its rationality for psychiatric inpatients in Beijing Shunyi District Psychiatric Hospital.METHODS： By a ＂one-day＂ method,all the medication records and medical records of the psychiatric inpatients in Beijing Shunyi District Psychiatric Hospital were reviewed.RESULTS： The neotype antipsychotic drugs represented 61% of all antipsychotic drugs and increased year by year.The vast majority of the patients were treated with one drug alone with a few treated with two drugs concurrently.The drugs used for associated diseases were mainly antihypertensive drugs,lipid-lowering drugs and antidiabetic agents.The doses for both the antipsychotic drugs and the drugs for associated diseases were all within the recommended safe dose.CONCLUSION： The drug use in psychiatric inpatients was rational on the whole.The choice of antipsychotic drugs was multiple and new;however,great importance should be attached to drug safety,adverse drug reaction and treatment of the associated diseases to improve the overall quality of life of psychiatric patients.