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目的:通过对1 837例失眠症患者抗失眠药应用的合理性进行分析,为临床合理使用该类药物提供依据。方法:以2010-2013年于我院门诊接受治疗的1 837例失眠症患者为对象,分析其抗失眠药的用药情况,归纳总结不合理用药类型及原因,并探讨如何提高合理用药水平。结果:2010-2013年失眠症患者人数分别为521、486、409、421例。不合理用药共132例,占患者总数的7.19%,各年度分别为50、42、24、16例;不合理用药类型包括单次剂量过大(50例)、药物重复使用(38例)、药物不合理联用(28例)及毒副作用超出耐受(16例)。结论:我院抗失眠药的使用基本合理,但不合理使用情况仍占一定比例,其中以单次剂量过大为最主要类型。医师还需要进一步提高抗失眠药的合理使用水平。
OBJECTIVE: To analyze the rationality of anti-insomnia treatment in 1 377 insomniac patients and provide basis for clinical rational use of these drugs. Methods: A total of 1 387 insomniacs treated in our hospital from 2010 to 2013 were analyzed. The anti-insomnia drug use was analyzed. The types and causes of irrational drug use were summarized and discussed on how to improve the rational drug use. Results: The number of insomnia patients in 2010-2013 were 521, 486, 409 and 421 respectively. There were 132 cases of irrational use of drugs, accounting for 7.19% of the total number of patients, each year were 50,42,24,16 cases; unreasonable types of medication including single overdoses (50 cases), repeated drug use (38 cases) Unreasonable use of drugs (28 cases) and toxic side effects out of tolerance (16 cases). Conclusion: The use of anti-insomnia drugs in our hospital is basically reasonable, but the unreasonable use still accounts for a certain proportion, of which the single dose is the most important type. Physicians also need to further improve the rational use of anti-insomnia drugs.