孟加拉国吉大港医科与非医科学生治疗精神疾病的自我用药及辅助治疗调查：医科学生与非医科学生的比较
Investigation into self-medication of drugs for primary and adjunct therapy in psychiatric diseases among students in chittagong city of bangladesh: a comparison between medical and nonmedical students.
作者信息
Chowdhury Nishat, Haque Ahsanul, Aysha Farjana
机构信息
Department of Pharmacy, State University of Bangladesh, 77 Satmasjid Road, Dhanmondi, Dhaka, Bangladesh.
出版信息
Indian J Psychol Med. 2012 Oct;34(4):313-7. doi: 10.4103/0253-7176.108195.
BACKGROUND
All kinds of drugs are available over the counter in Bangladesh.
AIM
The objective of this study was to investigate the over the counter use of self medicated drugs for primary and adjunct therapy in psychiatric diseases among medical and nonmedical students.
MATERIALS AND METHODS
101 medical students and 186 nonmedical students were found, who used at least one of the nine drugs (believed as antipsychotics among nonmedical people) under survey within 6 months prior to survey date. The nine drugs used for survey were domperidone, sertraline, amitriptyline, midazolam, diazepam, prochlorperazine bromazepam, flupentixol-melitracen, and clonazepam.
STATISTICAL ANALYSIS
Snowball sampling method was used. The symptoms, diseases, etc. of the students and the length of therapies they had followed for the respective drugs were noted.
RESULTS
Among nonmedical students, several cases were found where drugs were being self medicated in wrong indications, for example, use of flupentixol melitracen and domperidone to treat headache.
CONCLUSION
The nonmedical students chose the fast acting drugs having the strongest effects for self medication.
背景
在孟加拉国，各类药物均可在柜台购买。
目的
本研究的目的是调查医学专业和非医学专业学生在精神疾病的主要治疗和辅助治疗中自行用药的非处方使用情况。
材料与方法
共发现101名医学专业学生和186名非医学专业学生，他们在调查日期前6个月内使用了调查中的九种药物（非医学人士认为是抗精神病药物）中的至少一种。用于调查的九种药物为多潘立酮、舍曲林、阿米替林、咪达唑仑、地西泮、丙氯拉嗪、溴西泮、氟哌噻吨美利曲辛和氯硝西泮。
统计分析
采用雪球抽样法。记录了学生的症状、疾病等以及他们针对各自药物所遵循的治疗时长。
结果
在非医学专业学生中，发现了几例自行用药适应症错误的情况，例如，使用氟哌噻吨美利曲辛和多潘立酮治疗头痛。
结论
非医学专业学生选择药效最强的速效药物进行自我用药。
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