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目的 了解苯二氮 艹卓 类药物 (以下简称BZD)在住院精神病患者中的应用情况。方法 对本院 1998年度所有住院精神病患者 182例应用BZD的临床资料进行回顾性分析 ,对出院时仍在服用BZD的患者 6 6例随访 ,用CCMD - 2 -R诊断标准诊断其BZD依赖情况。结果 调查发现 182例住院精神病患者中 14 3例应用过BZD ,占 78.87% ,其中单用 1种的 12 3例 (86 .0 1% ) ,2种合用的 2 0例 (13.99% ) ,药物应用局限于安定、舒乐安定、阿普唑仑片、氯硝安定等。随访的 6 6例患者中 ,因故仅随访 5 2例 ,BZD依赖 18例 (34.6 2 % )。结论 BZD在住院精神病患者中应用范围广泛、时间较长、剂量偏大 ,存在明显滥用情况 ,易导致患者出院后BZD依赖
Objective To understand the application of benzodiazepine drugs (hereinafter referred to as BZD) in inpatients with mental illness. Methods A retrospective analysis was performed on 182 cases of BZD inpatients with psychosis in our hospital in 1998. Sixty - six patients who were still taking BZD after discharge were followed up and their BZD - dependent status was diagnosed by CCMD - 2 -R diagnostic criteria. Results Of the 182 inpatients with mental illness, 14 3 had BZD, accounting for 78.87% of the total, including 123 (86.0%) of 1 type alone, 20 (13.99%) of the 2 combined types, Application is limited to diazepam, diazepam, alprazolam tablets, clonazepam and so on. Among the 66 follow-up cases, 52 cases were followed up for a long time and BZD was dependent on 18 cases (34.6%). Conclusions BZD has a wide range of applications in hospitalized patients with psychosis, long time, large dose and obvious abuse, which easily leads to BZD dependence after discharge