门诊苯二氮革类药物依赖97例调查分析

目的：探讨门诊睡眠障碍患者苯二氮革类药物滥用与依赖的现状和相关因素。方法：用自制调查表收集患者社会人口学资料，睡眠障碍情况，BDZ使用的种类、剂量、疗程。同时用苯二氮革类药物依赖自评量表评分，〈22分为阴性，23～33分为可疑阳性，〉34分为依赖。对〉23分者再用CCMD-3有关药物依赖综合征诊断标准进行临床诊断。结果：精神科门诊患者BDZ使用率24．65％，BDZ依赖率39．11％，BDZ依赖者性别无差异，60岁以上者达72．16％，初中以下低文化者占64％，伴有躯体和精神疾病者87例。依赖者的BDZ用量低，戒断症状轻，持续用药平均达6年，没有明显不良反应。结论：BDZ药物依赖者在老年低文化水平的睡眠障碍人群中常见，精神科医生有滥用BDZ倾向，应严格规范使用，短期，间断，交替。

Outpatient benzodiazepine class of drug dependence analysis of 97 cases investigated

Objective： Explore clinic sleep disorders benzodiazepine drugs （BDZ） abuse and dependent status and relevant factors. Methods：Patients with a self - made questionnaire to collect demographic information, sleep disorder cases, BDZ use the type, dosage, course of treatment. At the same time with the benzodiazepine class of drug - dependent self - assessment scale score, 〈 22 is divided into negative, 23 -33 divided into negative suspicious positive, 〉 34 into dependency. Of 〉 23 points were then CC- MD -3 criteria related to drug dependence syndrome for clinical diagnosis. Results： BDZ psychiatric outpatient utilization 24.65%, BDZ dependence rate of 39.11%. Depend BZD were no significant differences in gender; 60 years of age up to 72.16% ; junior high school or below 64% ; associated with physical or mental illness in 87 cases. BDZ addicts low dosage, withdrawal symptoms light, an average of 6 years continuous medication with no apparent side effects. Conclusions ： BDZ drug dependence in the elderly with low educational level of the common sleep disorder populations. Psychiatrists have abuse BDZ tendency, should strictly according to the standard is used, short - term, intermittent, alternate.