失眠症患者临床用药情况分析

目的了解门诊失眠症患者临床药物使用情况。方法采用自行设计的调查表对2002年1月～6月及2007年1月～6月在门诊首次治疗的失眠症患者用药及一般资料进行调查。结果2002年共有46例,其中单用精神药物22例（47.83%）,以苯二氮卓类药物为首;联用精神药物24例（52.17%）,以苯二氮卓类药物联合抗抑郁剂为首;药物使用频度以苯二氮卓类药物为首,并有2例（4.35%）合用抗精神病药物。2007年共有61例,其中单用精神药物19例（31.15%）,以苯二氮卓类药物为首;联用精神药物42例（68.85%）,以苯二氮卓类药物联合抗抑郁剂为首,其中联用米氮平或佐匹克隆显著增多;药物使用频度以苯二氮卓类药物为首,亦有2例（3.28%）合用抗精神病药物。结论目前门诊失眠症患者临床用药变化较大,米氮平或佐匹克隆显著增多,避免使用抗精神病药物。

Analysis the First Use of Drugs in the Outpatients with Insomnia.

Objective To investigate the first use of drugs in the outpatients with insomnia.Methods 46 cases(Jan~Jun 2002) and 61 cases(Jan~Jun 2007) with insomnia were included.The drugs among 107 cases were studied.Results Benzodiazepine drugs were used generally in 2002 and in 2007,but Mirtazapine and Zopiclone were used more frequently in 2007 than in 2002.Conclusion At present,Mirtazapine and Zopiclone were used frequently in the outpatients with insomnia,benzodiazepine drugs should be used carefully,but antipsyc...