2018—2020年咸阳市中心医院住院药房第二类精神药品的使用情况分析

Analysis on application of type Ⅱ psychotropic drugs in inpatient department of Xianyang Central Hospital from 2018 to 2020

目的对咸阳市中心医院住院药房第二类精神药品的用药情况进行调查分析,为临床合理用药提供参考。方法收集2018—2020年咸阳市中心医院住院药房第二类精神药品的用药数据,将其销售金额、用药频度(DDDs)、日均费用(DDC)及排序比(B/A)等指标进行统计和分析。结果第二类精神药品以苯二氮类为主,其销售金额呈逐年增长趋势,其中阿普唑仑片的DDDs最大,连续3年均居第1位;咪达唑仑注射液(5 mg)的DDC排名较高,3年内均居首位;注射用苯巴比妥钠的B/A最小,阿普唑仑片的B/A最大。结论咸阳市中心医院住院药房第二类精神药品的临床使用基本合理,应根据不同患者的特点采取不同治疗措施,尽量做到个体化给药,确保临床用药规范合理。

Objective To investigate and analyze the application of type Ⅱ psychotropic drugs in inpatient department of Xianyang Central Hospital, so as to provide references for clinical reasonable application. Methods The utilization date of type Ⅱ psychotropic drugs in Xianyang Central Hospital from 2018 to 2020 was collected, and the sales sum, frequency of drug use(DDDs), daily average cost(DDC) and sequence ratio(B/A) of type Ⅱ psychotropic drugs were analyzed. Results Benzodiazepines were the main type Ⅱ psychotropic drugs. The sales amount of the company increased year by year. Alprazolam Tablets had the largest DDDs ranking the first for three consecutive years. DDC of Midazolam Injection(5 mg) ranked the top in three years. Phenobarbital Sodium Injection had the lowest sequence ratio and Alprazolam Tablets had larger sequence ratio than others. Conclusion The use of the type Ⅱpsychotropic drugs is basically reasonable in inpatient department of Xianyang Central Hospital, and should be different according to individual characteristics to ensure that the use of drugs is standardized and reasonable.