CAJ | 학술논문

目的：了解长期住院精神疾病患者抗精神病药使用特点。方法：对我院2014年10月20日住院时间超过1个月的精神疾病患者处方进行调查分析。结果：1196例精神疾病患者，单一用药352例（29.4%），其中利培酮142例（40.3%）、氯氮平68例（19.3%）；联合用药844例（70.6%），常用联合方案为氯氮平+新型非典型抗精神病药、利培酮+丙戊酸盐、氯氮平+新型非典型抗精神病药+丙戊酸盐；氯氮平与其它精神药物联用时剂量低于单用，有显著性差异。结论：住院精神疾病患者使用利培酮比率最高，药物治疗以联合用药为主，联合用药方案基本合理。
목적：료해장기주원정신질병환자항정신병약사용특점。방법：대아원2014년10월20일주원시간초과1개월적정신질병환자처방진행조사분석。결과：1196례정신질병환자，단일용약352례（29.4%），기중리배동142례（40.3%）、록담평68례（19.3%）；연합용약844례（70.6%），상용연합방안위록담평+신형비전형항정신병약、리배동+병무산염、록담평+신형비전형항정신병약+병무산염；록담평여기타정신약물련용시제량저우단용，유현저성차이。결론：주원정신질병환자사용리배동비솔최고，약물치료이연합용약위주，연합용약방안기본합리。
Objective: To understand the usage of antipsychotic drugs in long-term inpatients of our hospital. Methods: Prescriptions on 20 October 2014 of the psychiatric patients in the hospital for more than one month were analyzed. Results: Among the 1196 psychiatric patients, 352 patients (29.4%) were given single drug, including 142 patients (40.3%) used risperidone and 68 patients (19.3%) used clozapine;844 patients (70.6%) were given combination drugs, the combination drugs mainly included clozapine combined new atypical antipsychotics, risperidone combined valproate, clozapine combined new atypical antipsychotics and valproate. The dosage of clozapine in combination medication is lower than in single use, and there were obvious differences between them. Conclusion: Psychiatric inpatients received the treatment of risperidone with the highest proportion. Drug therapy for the psychiatric inpatients was mostly combination drugs, which were basically reasonable.