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目的了解该院2015年门诊第二类精神药品的使用现状,为促进康复患者二类精神药品的合理使用和管理提供依据。方法采用回顾性调查的方法,通过查询HIS系统及手工翻阅纸质处方,对该院2015年1487张门诊二类精神药品处方进行调查。采用限定日剂量(DDD)、用药频度(DDDs)和药物利用指数(DUI)等对调查处方进行分析,评估药物使用的合理性。结果该院门诊使用频率较高的精神药品依次是阿普唑仑片、艾司唑仑片和氯硝西泮片;8种二类精神药品DUI<1.0。结论该院二类精神药品使用基本合理,但个别药物仍需加强监控,以保证用药安全。
Objective To understand the status quo of the use of the second-category psychoactive drugs in the outpatient clinic in 2015 and provide basis for promoting the rational use and management of the second-class psychoactive drugs in rehabilitation patients. Methods A retrospective survey was conducted to investigate the prescriptions of 1,487 out-patient psychotropic drugs in 2015 by querying the HIS system and hand-over of paper prescriptions. DDD, DDDs and DUI were used to analyze the prescriptions to evaluate the rationality of drug use. Results The most frequently used psychotropic drugs in outpatient clinics were alprazolam tablets, estazolam tablets and clonazepam tablets. Eight kinds of psychotropic drugs, DUI <1.0. Conclusion The use of psychotropic drugs in the hospital is basically reasonable. However, the monitoring of individual drugs still needs to be strengthened to ensure drug safety.