摘要
目的:了解镇静催眠药在精神科门诊的使用情况。方法:对精神科门诊服用镇静催眠药589例患者的信息资料进行统计,分析其在性别、年龄、病种、病程、所服药物种类,依赖性等方面的临床分布特点。结果:服用镇静催眠药患者589例,占全年门诊总数1997例的29.49%;女性360例(61.12%),男性229例(38.88%);年龄以40~69岁者居多392例(66.55%);病种以原发性失眠症最多,其次是精神分裂症、抑郁症,分别为:157例(26.66%)、138例(23.43%)、131例(22.24%);病程最短的2个月,最长的41年;所服药物均为苯二氮类镇静催眠药,各种安定药物均有不同程度依赖性,药物依赖者共计174例(29.54%);依赖者服药时间至少连续2年以上。结论:精神科门诊镇静催眠药物使用十分普遍,尤其是中老年人群,易形成药物依赖。应加强认知行为治疗或给予依赖性小的非苯二氮类药物。
Objective :To study the using situation of hypon - sedatives in psychiatric clinic. Methods : collected information of 589 cases patients with hypon - sedatives in our hospital, analysis clinical distributed characteristic in sex,age,type of disease,duration of illness,type of drug ,dependence etc. respect. Results: 589 cases patients rates were 29.49% among 1997 cases patients in psychiatric clinic the whole year. female patients were 360 cases(61.12% ), male patients were 229 cases(38.88% ) ;the patients of from 40 to 60 ages were 392 cases(66.55% ) ; primary insomnia were most ( 157 cases26.66% ) ,next were schizophrenia( 138 cases 23. 43% ) , depression ( 131 cases 22.24% ) ;duration of illness was from 2 months to 41 years ; all patients used BDZ ,all types of BDZ have dependenc, the cases of dependence were 174 (29.54%), and the course of treatment was more than 2 years. Conclusions: the psychiatric clinic used hypon - sedatives was very general, especially middle - old age patients, result in dependence on drugs easily. should strengthen cognitive and behavioral treatment or use non -BDZ.
出处
《中国民康医学》
2007年第11期468-469,共2页
Medical Journal of Chinese People’s Health