中国药业2018，Vol.27Issue(1)：81-84,4.DOI:10.3969/j.issn.1006-4931.2018.01.027
某综合医院门诊抗抑郁药处方调查及用药合理性分析
Prescription Investigation and Rationality of Drug Use for Antidepressant in the Department of Outpatient in a General Hospital
劳荣巨 1林炯垣 1李伟恩 1冯凤芳1
作者信息
- 1. 广东省江门市中心医院,广东 江门 529000
- 折叠
摘要
Abstract
Objective To understand the application and rationality of antidepressant drugs in a general hospital, and to provide a basis for improving the drug delivery of antidepressant and medication monitoring. Methods Totally 798 outpatient prescriptions of antidepressant in December 2016 were randomly selected, and the condition of drug use was analyzed. Results In the 798 antidepressant prescriptions, 21 patients with obsessive - compulsive disorder, mood disorder and other mental disorders and 4 patients with postherpetic neuralgia, enuresis and other non anxiety or depression were eliminated according to the diagnosis, 773 cases were selected, including 204 cases of anxiety or depression, 569 cases of somatic disease associated with anxiety and depression, 315 males(40. 75％ ) and 458 females(59. 25％ ) . Anxiety or depression was mostly concentrated in the age of 18 - 44 years old. The prescription mainly comes from the Department of Neurology, Department of Psychology and the Department of Gastroenterology, which accounted for 90. 04％ . The single use of antidepressants was mainly used, the rates of anxiety and depression in the two combinations and combination of antipsychotic pre-scriptions accounted for 20. 59％ and 43. 14％ , respectively, which were higher than 8. 44％ and 6. 15％ of somatic disease associated with anxiety and depression. The appropriateness of drug use was mainly manifested in unsuitable usage and dosage(27 cases), inappropriate drug selection ( 29 cases ) , and unsuitable drug use ( 22 cases) . Conclusion There are still a few cases of inappropriate antidepressant prescriptions in the Department of Outpatient in the hospital. It is suggested that pharmaceutical care and medication education should be strengthened to improve the quality of the prescription, so as to ensure the safety of drug use.关键词
抗抑郁药/处方分析/合理用药/综合医院Key words
antidepressant/prescription analysis/rational drug use/general hospital分类
医药卫生引用本文复制引用
劳荣巨,林炯垣,李伟恩,冯凤芳..某综合医院门诊抗抑郁药处方调查及用药合理性分析[J].中国药业,2018,27(1):81-84,4.
