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新疆某三甲医院门诊第二类精神药品使用分析

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目的 综合分析我院第二类精神药品在门诊患者人群中的使用情况,借以规范我院第二类精神药品的管理,监测临床合理应用.方法 采用回顾性分析方法评价我院门诊2020~2022 年度第二类精神药品处方,对我院门诊使用的9 个品种的第二类精神药品的处方量、患者年龄、性别、使用频度(DDDs)、药物利用指数(DUI)、药品限定日费用(DDC)和药品排序比(B/A)进行统计分析.结果 2020~2022 年,我院门诊第二类精神药品连续三年使用频率最高的药物均是阿普唑仑片、酒石酸唑吡坦片和氯硝西泮片,占第二类精神药品处方总量的80.14%;使用第二类精神药品的性别比例为1(男)∶1.41(女);在年龄方面区间为51~70 岁年龄段患者开具第二类精神药品占比最高,达到41.69%;9 种第二类精神药品DUI均<1.0,连续三年销售金额最高的为酒石酸唑吡坦片;DDC值较稳定,最大的为氨酚羟考酮片,最小的为阿普唑仑片;B/A值最大的为阿普唑仑片,最小的为酒石酸唑吡坦片.结论 我院门诊第二类精神药品使用合理,应继续按照相关法规执行,避免第二类精神药品在门诊就诊人群产生滥用现象.
Analysis of the Use of Psychotropic Drugs in the Second Category in the Outpatient Department of a Third-class Hospital in Xinjiang
OBJECTIVE To investigate the application of Second Class of Psychotropic Drugs,and to provide reference for reasonable usage in clinic.METHODS The second class of psychotropic drugs in outpatient depart-ment of our hospital during 2020-2022 were analyzed retrospectively in respects of the number of common drugs pre-scription,distribution of gender/age,DDDs,DUI,DDC and B/A.RESULTS During 2020-2022the drugs with high use frequency were alprazolam,zolopidem tartrate,clonazepam,accounting for 80.14%of total prescription amount of second class of psychotropic drugs.The proportion of male to female was 1∶1.41;the patients aged 51-70 years old took up the biggest proportion,accounting for 41.69%.DUI of second class of psychotropic drugs was less than 1.0,and zolpidem tartrate tablets had the highest sales amount for three consecutive years.DDC value was stable,the lar-gest was paracetamol oxycodone,and the smallest was alprazolam.The highest B/A value was alprazolam tartrate and the lowest was zolpidem.CONCLUSION The use of second class of psychotropic drugs in the outpatient depart-ment of our hospital is reasonable and should continue to be implemented in accordance with relevant laws and regu-lations to avoid the abuse of second class of psychotropic drugs in the outpatient population.

Second class of psychotropic drugsMedication analysisRational use

蒋思思、刘冰

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新疆医科大学第一附属医院药学部,新疆乌鲁木齐 830011

第二类精神药品 用药分析 合理用药

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(4)
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