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轻中度抑郁障碍患者抗抑郁药物使用情况分析

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目的 分析轻中度抑郁障碍患者抗抑郁药物使用情况。方法 回顾性分析统计2021年1月至12月无锡市精神卫生中心及宜兴市第五人民医院两所精神病专科医院门诊就诊的562例轻中度抑郁障碍患者,采用限定日剂量(DDD)、药物使用频率(DDDs)、药物利用指数(DUI)分析抗抑郁药物使用情况,汉密尔顿抑郁量表(HAMD-24)评分评估疗效,观察用药期间不良反应发生情况。结果 门诊治疗轻中度抑郁障碍所使用的9种抗抑郁药物中有5种药物(舍曲林、度洛西汀、氯米帕明、西酞普兰、文拉法辛)超DDD使用,其中抗抑郁药合并镇静催眠药物治疗最常见(346例,61。57%)。单药或联合、合并用药治疗后疗效较明显,各组不良反应总发生率分别为13。11%、20。69%、13。01%、25。51%、28。57%,差异无统计学意义(P>0。05)。结论 轻中度抑郁障碍患者门诊使用抗抑郁药治疗效果较好,以抗抑郁药合并镇静催眠药物治疗最常见,存在一定超DDD使用药物情况,联合及合并用药需注意药物副反应,保证用药安全。
Analysis of the use of antidepressants in patients with mild to moderate depressive disorders
Objective To analyze the use of antidepressants in patients with mild to moderate depressive disorders.Meth-ods A retrospective analysis was conducted on 562 patients with mild to moderate depressive disorder who visited outpatient clinics at Wuxi Mental Health Center and Yixing Fifth People's Hospital from January 2021 to December 2021.The use of antidepressants was analyzed using defined daily dose(DDD),frequency of drug use(DDDs),and drug utilization index(DUI).The clinical efficacy was evaluated using the Hamilton depression scale(HAMD-24)score,and the occurrence of adverse reactions during the medication period was observed.Results Among the 9 antidepressant drugs used in outpatient treatment for mild to moderate depressive disorders,5 drugs(sertraline,duloxetine,clomipramine,citalopram,venlafaxine)were used beyond DDD.The most common treatment was the combination of antidepressants and sedative hypnotics(346 cases,61.57%).The therapeutic effect was more significant after single or combination therapy,and the total incidence of adverse reactions in each group was 13.11%,20.69%,13.01%,25.51%and 28.57%,with no statistically significant dif-ference(P>0.05).Conclusion The use of antidepressants in outpatients with mild to moderate depressive disorder is effec-tive,and antidepressants combined with sedative and hypnotic drugs are the most common treatment.Some drugs are used beyond DDD.Attention should be paid to the side effects of Joint and combined drugs to ensure drug safety.

Depressive disorderAntidepressantDefined daily doseDrug utilization indexEfficacyAdverse reactions

钱新民、丁兆生、徐春丽、张万权、张国富

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江苏省宜兴市第五人民医院药剂科,江苏宜兴 214261

江苏省荣军医院康复科,江苏无锡 214035

江苏省无锡市精神卫生中心精神科,江苏无锡 214151

抑郁障碍 抗抑郁药 限定日剂量 药物利用指数 不良反应

江苏省无锡"双百"中青年医疗卫生拔尖人才项目江苏省无锡市卫生健康委科研项目

HB20202080Q202145

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(7)
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