某市三级甲等精神病专科医院2017年多种抗精神病药物联合使用分析

Combined Utilization of a Variety of Antipsychotics in Tertiary A Psychiatric Hospital in a City

目的分析驻马店市第二人民医院2017年多种抗精神病药物联合使用情况,为多种抗精神病药物的联合使用提供更多的经验和支持。方法通过电子病历查阅2017年出院时≥3种抗精神病药物联合使用的59例患者的病历相关信息。结果驻马店市第二人民医院多种抗精神病药物的联合使用率0.63%;联合使用多种抗精神病药物的患者均诊断精神分裂症,其中未分化型和偏执型分别占72.9%、30.5%;非典型抗精神病药物在驻马店市第二人民医院临床联合用药中占主导地位(占91.7%)。结论驻马店市第二人民医院多种抗精神病药物的联合使用基本合理,联合使用抗精神病药物要有明确的指征和评估标准,确保患者安全。

Objective To analyze the combination of multiple antipsychotic drugs in the hospital in 2017 and provide more experience and support for the combined utilization of multiple antipsychotic drugs. Methods The medical history information of 59 patients with ≥3 kinds of antipsychotics used at hospital discharge in 2017 was accessed through electronic medical record. Results The combined utilization rate of multiple antipsychotic drugs in the hospital was 0.63%. Patients who had combined utilization of a variety of antipsychotics were diagnosed as schizophrenia. Undifferentiated and paranoid schizophrenic patients accounted for 72.9% and 30.5% of patients with multiple antipsychotics. In Zhuamadian No. 2 People’s Hospital, antipsychotics has played dominated role(accounting for 91.7%). Conclusion The combined use of multiple antipsychotics in the hospital is basically reasonable. Combination use of antipsychotic drugs have a clear indication and evaluation criteria to ensure patient safety.