精神科门诊长期使用苯二氮类药物的病人的状况

目的:了解长期应用苯二氮类药物的精神科门诊病人的状况,便于在精神科更好管理和使用苯二氮类药物。方法:我们对安徽省精神卫生中心2004.10.1～2005.3.31门诊就诊的连续使用苯二氮类药物≥1.5年的门诊病人,随机整群抽取66名进行前瞻性调查,并分析所得。结果:长期应用苯二氮类药物精神科门诊病人中神经症、癔症病人占45.5%,分裂症、躁郁症占42.4%;40～59岁占47.0%,老年人(≥60岁)占28.8%;女性病人占66.7%;病程中应用过1～2种苯二氮类药物占81.8%,剂量≤2片/d占95.5%;苯二氮类药物停药失败的首要原因66.7%是停用药后失眠。精神科门诊长期应用苯二氮类药物病人主要是神经症、癔症、分裂症、躁郁症病人,女性、40～59岁占多数,老年人亦占相当部分,精神科门诊病人要停用苯二氮类药物首先需解决的问题是停药之后如何应对失眠。

Clinical Features of Psychiatric Outpatients Having Taken Benzodiazepines for a Long Time

Objective: The purpose of this study was designed to help us get a deeper understanding of clinical features of psychiatric outpatients having taken benzodiazepines long and administer it well.Methods: we inquired 66 psychiatric outpatients who had taken benzodiazepines for 1.5 years or longer by using cluster random sampling in Anhui Mental Health Centrefrom Oct 1, 2004 to Mar 31,2005.Results: Of them 45.4% were with neurosis or hysteria,42.4% with schizophrenia or affection disorders,47.0% at age of 40 to 59,28.8% over 60 and 66.7% female.When they had stopped taking the medicine,66.7%suffered from agrypnia.Conclusion:More than half of the long-term benzodiazepine user were the women with neurosis or hysteria or schizophrenia or affection disorders from 40 to 59.Some methods should be found out to deal with agrypnia if they are to stop taking it.