CAJ | 학술논문

目的：了解中山市第三人民医院住院精神障碍患者的药物应用情况及其用药规律。方法采用一日法，以2013年5月14日为时间节点，对该院住院病人的用药情况进行分析，总结其用药规律。结果①单用抗精神病药、心境稳定剂、抗焦虑药/镇静催眠药、抗抑郁药和苯海索分别占60.53%、27.70%、30.74%、7.40%和14.23%，未使用抗精神病药、心境稳定剂、抗焦虑药/镇静催眠药、抗抑郁药和苯海索分别占5.50%、69.83%、66.98%、92.60%和85.77%；②使用频率居前5位的抗精神病药分别为利培酮174例(33.02%)，氯氮平143例(27.13%)，奥氮平107例(20.30%)，阿立哌唑75例(14.23%)，喹硫平68例(12.90%)。居前3位的心境稳定剂分别为丙戊酸钠110例(20.87%)，奥卡西平22例(4.17%)，丙戊酸镁19例(3.60%)。结论非典型抗精神病药和新型抗抑郁药已成为临床一线用药，临床用药总体较规范，但仍需要注意苯海索和苯二氮艹卓类(BDZ)药物的合理使用。
목적：료해중산시제삼인민의원주원정신장애환자적약물응용정황급기용약규률。방법채용일일법，이2013년5월14일위시간절점，대해원주원병인적용약정황진행분석，총결기용약규률。결과①단용항정신병약、심경은정제、항초필약/진정최면약、항억욱약화분해색분별점60.53%、27.70%、30.74%、7.40%화14.23%，미사용항정신병약、심경은정제、항초필약/진정최면약、항억욱약화분해색분별점5.50%、69.83%、66.98%、92.60%화85.77%；②사용빈솔거전5위적항정신병약분별위리배동174례(33.02%)，록담평143례(27.13%)，오담평107례(20.30%)，아립고서75례(14.23%)，규류평68례(12.90%)。거전3위적심경은정제분별위병무산납110례(20.87%)，오잡서평22례(4.17%)，병무산미19례(3.60%)。결론비전형항정신병약화신형항억욱약이성위림상일선용약，림상용약총체교규범，단잉수요주의분해색화분이담초탁류(BDZ)약물적합리사용。
Objective To investigate the status and regularities in the utilization of psychotropic drugs for the third people's hospital of zhongshan hospital patients.Methods The durg use was analyzed,and the regularity of prescription was summarized for overall hospitalized patients in our hospital at the same day,i.e.May 14th.2013.Results The top 5 antipsychotic drugs were Risperidone,Clozapine,Olanzapine,Aripiprazole and Quetiapine.The top 3 mood stabilizers were Sodium Valproate,Oxcarbaz-epine and Magnesium Valproate.Conclusion Atypical antipsychotic drugs have become the first line antipsychotic drugs.The medication scheme for psychotic inpatients in this hospital is rational on the whole.But more attention should be paid to make reasonable use of such medicine as Antane and Benzodiazeyzine.