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目的:了解我院老年精神科门诊镇静催眠药的使用情况。方法:采用自行设计的调查表,对2009年2～8月就诊于老年精神科门诊的169例年龄≥60岁患者的信息资料进行统计,分析其在性别、年龄、病种、病程、服用镇静催眠药种类、依赖性等方面的特点。结果:169例中有107例(63.31%)使用镇静催眠药,其中39例出现不良反应:依赖症状13例(12.15%),过度镇静及认知损害10例(9.35%),停药阶段出现失眠2例(1.87%),反跳症状13例(12.15%),皮肤过敏1例(0.93%)。结论:老年精神科门诊镇静催眠药的使用率较高,且存在滥用倾向,易形成药物依赖等不良反应,应规范镇静催眠药的使用。
Objective: To understand the use of sedatives and hypnotics in elderly psychiatric clinics in our hospital. Methods: The self-designed questionnaire was used to analyze the information of 169 patients aged 60 or older who were admitted to geriatric psychiatry from February to August in 2009. The data of sex, age, disease type, course of disease, Hypnotic drug types, dependence and other characteristics. Results: Seventy-nine patients (63.31%) used sedatives and hypnotics, of which 39 patients had adverse reactions: 13 patients (12.15%) were dependent symptoms, 10 patients (9.35%) had sedation and cognitive impairment, Insomnia in 2 cases (1.87%), rebound symptoms in 13 cases (12.15%), skin allergy in 1 case (0.93%). Conclusion: The usage of sedatives and hypnotics in geriatric psychiatry clinics is high, and there is a tendency of abuse. It is easy to form adverse reactions such as drug dependence, and the use of sedatives and hypnotics should be standardized.