基层精神病院新型抗精神病药物使用现况调查

Investigation and analysis on use status quo of new type antipsychotic drugs in basic level psychiatric hospital

目的调查基层精神病院新型抗精神病药物使用现况。方法对2010年1月至2012年12月四川省峨眉山市精神病院收治的确诊精神分裂症患者所用治疗药物按传统抗精神病药物使用及新型抗精神病药物使用进行分类统计建档。结果 2010年单独使用传统抗精神病药物治疗占60.6%,2011年占43.1%,2012年占11.7%,呈逐年下降趋势;2010年联合应用新型抗精神病药物治疗占39.4%,2011年占56.9%,2012年占88.3%,呈逐年上升趋势。结论随着社会、经济水平的不断提高,新型抗精神病药物以其对认知功能改善、对阴性症状作用、引发锥体外系不良反应低等优点,在基层精神病院使用量逐年大幅度提高,极大地提高了患者服药依从性,未来前景应用广阔。

Objective To investigate and analyze the use status quo of new antipsychotic drugs in basic level psychiatric hospital.Methods The antipsychotic medication situation of hospitalized schizophrenia patients enrolled in the Emeishan Municipal Psychiatric Hopital from Januray 2010 to December 2012 were classified according to the traditional antipsychotic drugs and new type antipsychotic drugs.Results Single use of antipsychotic drugs accounted for 60.6% in 2010,43.1% in 2011 and 11.7% in 2012,showing the decreasing trend year by year.The combination use of new type antipsychotic drugs accounted for 39.4% in 2010,56.9% in 2011 and 88.3% in 2012,showing the increasing trend year by year.Conclusion With the continuously development of society and economy,the use amounts of new type antipsychotic drugs due to the advantages of improving the cognitive function,curing the negative symptoms and causing the low adverse reactions of extrapyramidal system（EPS） have been substantially increased year by year,which extremely improves the patient′s medication compliance and shows the wide application prospect in future.