某精神专科医院治疗精神障碍基本药物使用评价Assessment on Use of Essential Psychotherapeutic Agents in A Psychiatric Hospital
温全胜,卢文芬,黄海峰,张传福
WEN Quansheng,LU Wenfen,HUANG Haifeng,ZHANG Chuanfu
摘要(Abstract):
目的了解某精神专科医院治疗精神障碍基本药物应用现状,为国家基本药物的合理应用提供参考依据。方法采用世界卫生组织推荐的限定日剂量(DDD)方法,对该院2012~2014年治疗精神障碍基本药物的使用状况进行统计分析。结果2012~2014年该院国家基本药物品种、销售金额构成比变化不大,基本药物品种为23种,使用金额比例分别为44.12%、42.86%和44.96%。三年来基本药物销售金额排序前10位的药品以抗精神病药物为主,其中以氯硝西泮、利培酮、氯氮平DDDs较高,相应DDC较低。结论基本药物的配备率和应用水平有待进一步提高,使广大患者获益。
OBJECTIVE To investigate utilization of essential psychotherapeutic agents in a psychiatric hospital,so as to provide reference for rational application of national essential drugs. METHODS The application of essential psychotherapeutic agents in the psychiatric hospital from 2012 to 2014 was statistical analyzed,with reference to defined daily dose( DDD) recommended by WHO.RESULTS No significant changes were found in drug varieties and consumption sum proportion of national essential drugs from 2012 to 2014. Twenty-three national essential drugs were used,accounted for 44.12%,42.86% and 44.96% of total consumption sum from2012 to 2014,respectively. The antipsychotics took a big share in the top 10 drugs of consumption sum in 2012 to 2014. Clonazepam,risperidone and clozapine had a high DDDs and low DDC in those years. CONCLUSION The possession rate and utilization of essential psychotherapeutic agents should be further improved to benefit a majority of patients.
关键词(KeyWords):
精神障碍;基本药物;限定日剂量;评价
mental disorder;essential drug;DDC;assessment
基金项目(Foundation):
作者(Author):
温全胜,卢文芬,黄海峰,张传福
WEN Quansheng,LU Wenfen,HUANG Haifeng,ZHANG Chuanfu
参考文献(References):
- [1]贾自立,杨悦.基本药物在医疗机构使用现状分析[J].中国现代医生,2010,48(19):112-113.
- [2]陈新谦,金有豫,汤光.新编药物学[M].北京:人民卫生出版社,2007:299.
- [3]吴海彬.广东省基层医疗机构基本药物制度实施现状调查分析[D].广州:广东药学院,2013.
- [4]广东省卫计委.关于做好省政府办二级以上综合医院优先配备使用基本药物工作的通知[S].2012-08-23.
- [5]温全胜,卢文芬,厉倬学,等.精神科住院患者用药时点调查分析[J].中国处方药,2014,12(4):6-7.
- [6]季建林,徐美勤.抑郁症和精神分裂症共病焦虑障碍的研究[J].临床精神医学杂志,2004,14(1):9-11.