Holm M
University of Aarhus, Institute of General Practice.
Dan Med Bull. 1990 Apr;37(2):188-91.
The aim of the study was to monitor discontinuation of benzodiazepine prescribing among patients who were either first-time or long-term users. The study was carried out as a one-year follow-up study in general practice in the County of Arhus, Denmark. In all, 201 patients with first-time prescriptions and 607 patients with long-term prescriptions participated, and in the one-year follow-up period 55% and 12%, respectively, stopped having further prescriptions of benzodiazepines or other psychotropic drugs. Older first-time users continued significantly more often than younger. In an age and sex-stratified analysis, users of benzodiazepine hypnotics/sedatives continued significantly more often than users of benzodizepine tranquillizers among first-time users (odds ratio (OR) 2.15) as well as long-term users (OR: 2.16). Continuation of long-term use was significantly correlated with the female sex (OR: 1.71), living alone (OR: 1.97), daily use (OR: 4.17), high amounts of defined daily doses (DDD) per prescription, and a high ratio between prescribed daily dose and DDD.
该研究的目的是监测首次使用或长期使用苯二氮䓬类药物的患者中此类药物处方的停用情况。该研究作为一项为期一年的随访研究,在丹麦奥胡斯郡的普通医疗实践中开展。共有201名首次开具处方的患者和607名长期开具处方的患者参与,在一年的随访期内,分别有55%和12%的患者停止了苯二氮䓬类药物或其他精神药物的进一步处方。年龄较大的首次使用者继续用药的情况显著多于较年轻者。在按年龄和性别分层的分析中,首次使用者(优势比(OR)为2.15)以及长期使用者(OR为2.16)中,使用苯二氮䓬类催眠药/镇静药的患者继续用药的情况显著多于使用苯二氮䓬类安定药的患者。长期使用的持续情况与女性(OR为1.71)、独居(OR为1.97)、每日使用(OR为4.17)、每张处方中规定日剂量(DDD)的高用量以及规定日剂量与DDD之间的高比值显著相关。