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目的:调查精神科住院患者苯二氮类药物(BZD)的使用现状。方法:以2005年7月12日至14日为时点调查日,对19家精神疾病专科医院用自制调查表进行调查,被调查的医院包括卫生、民政、铁路、公安4个系统,凡住院号为单数的精神科住院患者接受调查。结果:在2483例患者中,合并使用BZD者为705例(28.4%),各类精神障碍合并使用BZD者分别为:精神分裂症404例(21.4%),心境障碍160例(55.6%),器质性精神障碍43例(51.2%),神经症32例(71.1%),急性短暂性精神病17例(34.7%),癔症15例(55.6%),精神活性物质所致精神障碍10例(31.3%),其他24例。BZD使用频率依次为阿普唑仑、氯硝西泮、艾司唑仑、劳拉西泮、地西泮等。使用BZD的时间:<60d者462例(65.5%),>60d者243例(34.5%)。结论:精神科住院患者BZD的使用基本规范,但也有不合理用药。
Aims: To investigate the use of benzodiazepine (BZD) in psychiatric inpatients. Methods: From July 12, 2005 to July 14, 2005, a questionnaire survey was conducted on 19 psychiatric hospitals. The surveyed hospitals included 4 systems including health, civil affairs, railways and public security. The number of psychiatric inpatients under investigation. Results: Among 2483 patients, 705 cases (28.4%) were combined with BZD, 404 cases (21.4%) were schizophrenia, 160 cases (55.6%) were mood disorders, There were 43 cases of organic mental disorders (51.2%), 32 cases of neurosis (71.1%), 17 cases of acute transient psychosis (34.7%), 15 cases of hysteria (55.6%) and 10 cases of psychotic substance-induced mental disorders 31.3%), other 24 cases. The frequency of BZD was alprazolam, clonazepam, estazolam, lorazepam, diazepam and so on. BZD time: <60d 462 cases (65.5%),> 60d 243 cases (34.5%). Conclusion: Psychiatric inpatients BZD use the basic norms, but there are also irrational medication.