2013-2017年鄂尔多斯市中心医院第二类精神药品使用情况分析

目的 为了解鄂尔多斯市中心医院第二类精神药品的使用现状，评价该类药品的临床使用合理性。方法 对鄂尔多斯市中心医院2013-2017年第二类精神药品的销售金额、数量、用药频度（DDDs）、日均费用（DDC）和排序比（B/A）等进行统计分析。结果 2013-2017年第二类精神药品的使用数量和金额呈逐年上升趋势。地佐辛注射液、咪达唑仑注射液、右佐匹克隆片的销售金额近5年稳居前3位。艾司唑仑片因价格低廉，DDDs居首，在临床上发挥着重要的作用。除地佐辛注射液和咪达唑仑注射液的DDC较高外，其余药品DDC均小于5.20元。地佐辛注射液、咪达唑仑注射液、盐酸曲马多片连续5年的B/A均小于1，右佐匹克隆片、艾司唑仑片、地西泮注射液、地西泮片、阿普唑仑片的B/A连续5年均大于1，其他药品的B/A均接近1。结论 鄂尔多斯市中心医院第二类精神药品的使用基本合理，但仍有个别药物的使用有待进一步规范。

Analysis on use of second-category psychotropic drugs in Ordos Center Hospital from 2013 to 2017

Objective To investigate the application of second-category psychotropic drugs, and to evaluate the rationality of clinical medication in Ordos Center Hospital. Methods Consumption sums, sales, medication frequency (DDDs), daily cost (DDC), and B/A of second-category psychotropic drugs in Ordos Center Hospital from 2013 to 2017 were counted, sorted, and analyzed. Results From 2013 to 2017, sales volume and consumption sums of the second category of psychotropic drugs were increased year by year. Consumption sums of Dezocine Injection, Midazolam Injection, and Dexzopiclone Tablets were ranked the top three in recent five years. Esazolam Tablets plays an important role in clinic because of its low price, and it''s DDDs ranked the first. DDC of all the second class psychotropic drugs were lower than 5.20 Yuan except for Dizocine Injection and Midazolam Injection. B/A of Dezocine Injection, Midazolam Injection, and Tramadol Hydrochloride Tablets were lower than 1 for 5 continuous years. B/A of Dexzopiclone Tablets, Estazolam Tablets, Diazepam Injection, Diazepam Tablets, and Alprazolam Tablets were higher than 1 for 5 continuous years. B/A of other second-category psychotropic drugs were near 1. Conclusion The use of the second category of psychotropic drugs in Ordos Center Hospital is basically reasonable, but there are still some individual drugs to be further standardized.