中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
30期
141-142
,共2页
邵红%李孟石%王亚楠%王娟
邵紅%李孟石%王亞楠%王娟
소홍%리맹석%왕아남%왕연
门诊%抗抑郁药%用药情况
門診%抗抑鬱藥%用藥情況
문진%항억욱약%용약정황
Outpatient%Anti depression drugs%Drug use
目的：探讨2012～2014年我院门诊抗抑郁药用药情况。方法对2012年1月～2014年1月我院确诊为抑郁症患者的500张处方进行分析，总结我院门诊抗抑郁药用药的合理状况。结果500份处方中男性183例，女性317例，男性患者比例与女性相比明显较小，P＜0.05。我院使用的抗抑郁药物共包括多塞平、帕罗西汀、氟西汀、氟哌噻吨美利曲辛片、米氮平、艾司西酞普兰、曲唑酮、度洛西汀、氯米帕明、舍曲林、文拉法辛等11种抗抑郁药物。选择性5-HT再摄取抑制剂占68.4%，三环类抗抑郁药占20.6%、非典型抗抑郁药占11.0%。使用频度前三的药物为：氟哌噻吨美利曲辛片、帕罗西汀、米氮平。药物销售金额及用药频度的序号比中氟哌噻吨美利曲辛片和帕罗西汀的比值为1。500份处方中单一用药比例与联合用药相比明显较高，P＜0.05。结论我院抗抑郁药物使用情况较为合理，且以新型抗抑郁药物为主，单一用药是我院抗抑郁药物使用的主要方式。
目的：探討2012～2014年我院門診抗抑鬱藥用藥情況。方法對2012年1月～2014年1月我院確診為抑鬱癥患者的500張處方進行分析，總結我院門診抗抑鬱藥用藥的閤理狀況。結果500份處方中男性183例，女性317例，男性患者比例與女性相比明顯較小，P＜0.05。我院使用的抗抑鬱藥物共包括多塞平、帕囉西汀、氟西汀、氟哌噻噸美利麯辛片、米氮平、艾司西酞普蘭、麯唑酮、度洛西汀、氯米帕明、捨麯林、文拉法辛等11種抗抑鬱藥物。選擇性5-HT再攝取抑製劑佔68.4%，三環類抗抑鬱藥佔20.6%、非典型抗抑鬱藥佔11.0%。使用頻度前三的藥物為：氟哌噻噸美利麯辛片、帕囉西汀、米氮平。藥物銷售金額及用藥頻度的序號比中氟哌噻噸美利麯辛片和帕囉西汀的比值為1。500份處方中單一用藥比例與聯閤用藥相比明顯較高，P＜0.05。結論我院抗抑鬱藥物使用情況較為閤理，且以新型抗抑鬱藥物為主，單一用藥是我院抗抑鬱藥物使用的主要方式。
목적：탐토2012～2014년아원문진항억욱약용약정황。방법대2012년1월～2014년1월아원학진위억욱증환자적500장처방진행분석，총결아원문진항억욱약용약적합리상황。결과500빈처방중남성183례，녀성317례，남성환자비례여녀성상비명현교소，P＜0.05。아원사용적항억욱약물공포괄다새평、파라서정、불서정、불고새둔미리곡신편、미담평、애사서태보란、곡서동、도락서정、록미파명、사곡림、문랍법신등11충항억욱약물。선택성5-HT재섭취억제제점68.4%，삼배류항억욱약점20.6%、비전형항억욱약점11.0%。사용빈도전삼적약물위：불고새둔미리곡신편、파라서정、미담평。약물소수금액급용약빈도적서호비중불고새둔미리곡신편화파라서정적비치위1。500빈처방중단일용약비례여연합용약상비명현교고，P＜0.05。결론아원항억욱약물사용정황교위합리，차이신형항억욱약물위주，단일용약시아원항억욱약물사용적주요방식。
Objective To investigate the anti depression drug use in our hospital in 2012 to 2014.Methods500 prescriptions of patients with depression in our hospital from January 2014 to January 2012 were analyzed, and the reasonable status of the antidepressant drugs in our hospital were summarized.Results500 of the 183 prescriptions were male and 317 were female, and the proportion of male patients was significantly smaller than that of female,P<0.05. Anti depression drugs used in our hospital, including a total of doxepin, paroxetine, fluoxetine, droperidol thiadiazole melitracen tablets, mirtazapine, escitalopram, trazodone, Duloxetine, clomipramine, sertraline, venlafaxine, and 11 kinds of antidepressant drugs. The selective 5-HT uptake inhibitors accounted for 68.4%, and the antidepressant drugs accounted for 20.6%, and the atypical antidepressants accounted for 11%. The use of drugs for the first three frequencies: Flupentixol and Melitracen Tablets, paroxetine, mirtazapine. Drug sales amount and DDDs of the number ratio of Flupentixol and melitracen tablets and paroxetine for 1. The proportion of single medication in 500 prescriptions was significantly higher than that in combination, P<0.05.Conclusion The use of antidepressant drugs in our hospital is reasonable, and it is the main way to use a new type of antidepressant drugs.
