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我院精神病区2015—2017年抗精神病主要药物的临床应用分析

杨廷江,刘幸   

  1. 文山州人民医院,昆明市第三人民医院
  • 收稿日期:2018-08-08 修回日期:2018-12-03 出版日期:2019-01-25
  • 基金资助:
    昆明市科技计划项目(项目编号:2017-1-S-14333;项目名称:结核易感基因多态性与云南地区汉族人群肺结核易感性的相关性研究)

Clinical Application Analysis of the Main Antipsychotic Drugs in Psychiatric Region in Our Hospital from 2015 to 2017

YANG Tingjiang and LIU Xing   

  1. 1.The People''''2.''''3.s Hospital of Wenshan Prefecture, Wenshan YUNNAN;2. The Third People′s Hospital of Kunming City,The Third People′s Hospital of Kunming City
  • Received:2018-08-08 Revised:2018-12-03 Online:2019-01-25

摘要: 目的:分析我院精神病区使用抗精神病药物的情况。方法:回顾性分析我院精神病区2015—2017年抗精神病药物的使用种类、用药频度(DDDs)、销售金额、日均费用(DDC)、排序比(B/A)等情况,并探究其用药的合理性。结果:①我院精神病区2015—2017年抗精神病药的销售金额整体呈逐年上升的趋势,其中,非典型抗精神病药的销售金额每年快速增长,而经典型抗精神药则呈逐年下降的趋势;②2015年我院抗精神病药DDDs值最大的是氯氮平片、阿立哌唑口腔崩解片、利培酮,2016年、2017年DDDs值除氯氮平片与盐酸齐拉西酮外均上升且幅度较大;③2015—2017年,除氯氮平片、舒必利片、氯丙嗪片、氟哌啶醇注射液、氟哌啶醇片与利培酮外,其他抗精神病药的DDC值无明显变化;④非典型抗精神病药的B/A值除奥氮平片与氨磺必利外大多大于1或接近1,而经典型抗精神病药除了氟哌啶醇注射液、癸酸氟哌啶醇注射液,其他药物的B/A值均>1。结论:我院抗精神病药的使用情况较为合理,其中疗效好、安全性高的非典型抗精神病药的用药量呈逐年增长的趋势。但临床医生仍需结合患者的实际病情、经济状况合理选择药物,切实做到有效、安全用药。

Abstract: Objective:To analyze the use of antipsychotic drugs in psychiatric region in our hospital. Methods:The types of antipsychotic drugs, the frequency of drug use (DDDs), the sales amount, daily cost (DDC) and the ranking ratio (B/A) were analyzed retrospectively in the psychiatric region of our hospital from 2015 to 2017,to explore the rationality of antipsychotic drugs use. Results:①The sales amount of antipsychotic drugs showed annual growth increasing trend in the psychiatric region in our hospital from 2015 to 2017, among which, the sales amount of atypical antipsychotic drugs increased rapidly every year, while the typical antipsychotic drugs showed a decreasing trend. ②Clozapine tablets, aripiprazole orally disintegrating tablets, risperidone had the largest DDDs of antipsychotic drugs in 2015, the DDDs of the other antipsychotic drugs increased rapidly except clozapine tablets and ziprasidone hydrochloride in 2016 and 2017. ③During 2015 to 2017, The DDC of other antipsychotic drugs did not change significantly except of clozapine tablets, sulpiride tablets, chlorpromazine tablets, haloperidol injection haloperidol tablets and risperidone. ④The B/A of most atypical antipsychotic drugs was more than 1 or nearly 1 except olanzapine and amisulpride, while the B/A of typical antipsychotic drugs was more than 1 except of haloperidol injection and haloperidol decanoate injection. Conclusion:The use of antipsychotic drugs in our hospital is reasonable, and the dosing of atypical antipsychotic drugs with good efficacy and high safety shows an increasing tendency year by year. But the clinician still should choose medicines reasonably according to the patient′s state of illness to and economic condition, to use drugs effectively and safely.