2013—2016年天津市津南区咸水沽医院第二类精神药品使用情况分析

目的 分析2013—2016年天津市津南区咸水沽医院第二类精神药品的使用情况和变化趋势，为促进临床合理用药提供依据。方法 对2013—2016年天津市津南区咸水沽医院第二类精神药品的销售量、销售金额、用药频度（DDDs）、日均药费（DDC）、药品排序比（B/A）进行统计和分析。结果 2013—2016年，第二类精神药品的销售金额逐年增长，地佐辛注射液、咪达唑仑注射液的销售金额排名始终居前2位。第二类精神药物的DDDs逐年增长，艾司唑仑片、地西泮片的DDDs始终居前3位。各类精神药品的DDC排名基本稳定。地佐辛注射液、咪达唑仑注射液的DDC值较大，位居前两位。曲马多注射液、盐酸曲马多缓释片、酒石酸唑吡坦片、地西泮注射液、苯巴比妥钠注射液、阿普唑仑片的B/A接近1.00，但个别精神药品的B/A大于1.00。结论 天津市津南区咸水沽医院第二类精神药品的使用基本合理，但个别药品存在不合理现象。

Analysis on use of second class psychotropic substances in Jinnan Xianshuigu Hospital of Tianjin City from 2013 to 2016

objective To investigate the usage and variation tendency of second class psychotropic substances in Jinnan Xianshuigu Hospital of Tianjin City from 2013 to 2016, in order to provide reference for rational drug use in clinic. Methods The utilization, consumption sums, frequency of drug use (DDDs), defined daily cost (DDC), and drug sequence ratio (B/A) of second class psychotropic substances in Tianjin Xianshuigu Hospital from 2013 to 2016 were calculated and analyzed. Results Consumption sums of second class psychotropic substances increased year by year from 2013 to 2016. Consumption sums of Dezocine Injection and Midazolam Injection always ranked the top two. DDDs of the second class of psychotropic drugs increased year by year, and DDDs of Escitalizine Tablets and Diazepam Tablets always ranked the top three. DDC rankings of the second class of psychotropic drugs were stable. DDC of Dezocine Injection and Midazolam Injection were larger, and ranked the top two. B/A of Tramadol Injection, Tramadol Hydrochloride Sustained Release Tablets, Zolpidem Tartrate Tablets, Diazepam Injection, Phenobarbitol Sodium Injection, and Alprazolam Tablets were close to 1.00. While B/A of individual psychotropic drugs was far larger than 1.00. Conclusion The use of the second class of psychotropic drugs in Jinnan Xianshuigu Hospital of Tianjin City is basically reasonable, but there are still some unreasonable use.