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[全科医疗中精神药物的处方。1. 奥尔胡斯郡的一项登记研究]

[Prescription of psychopharmaceuticals in general practice. 1. A registry study in the county of Arhus].

作者信息

Holm M, Olesen F

出版信息

Ugeskr Laeger. 1989 Aug 21;151(34):2122-6.

PMID:2672500
Abstract

Prescription of psychotropic drugs by general practitioners was registered by means of a multicenter-questionnaire investigation in the County of Arhus. A total of 227 doctors registered 4,180 prescriptions to 3,756 patients during one week. The sex ratio (m/f) was 0.5, calculated not only from the number of prescriptions but also from the defined daily doses (DDD). The frequencies of prescribing increased markedly with age so that for men and women in the age group 70+, these were 188 and 322 DDD/1,000 of the population per 24 hours, respectively. Benzodiazepines constituted 67.3% of all of the prescriptions and 76.9% of the prescribed DDD while neuroleptics constituted 13.6% and 3.9% and antidepressives 9.5% and 7.0%, respectively. Neuroleptics were prescribed in doses of about 1/5 DDD. About 50% of the first prescriptions but only 17% of the renewed prescriptions were undertaken by direct doctor-patient contact in connection with consultations or visits in the home. Prescription of psychotropic drug by general practitioners is estimated to constitute just under 90% of the psychotropic drug in the County of Arhus.

摘要

通过在奥胡斯郡进行的多中心问卷调查,对全科医生开具精神药物的情况进行了登记。在一周内,共有227名医生为3756名患者开具了4180张处方。性别比(男/女)为0.5,这一比例不仅根据处方数量计算得出,也根据限定日剂量(DDD)计算得出。开药频率随年龄显著增加,因此在70岁及以上年龄组中,男性和女性每24小时的开药频率分别为每1000人188和322 DDD。苯二氮䓬类药物占所有处方的67.3%,占规定DDD的76.9%,而抗精神病药物分别占13.6%和3.9%,抗抑郁药物分别占9.5%和7.0%。抗精神病药物的处方剂量约为1/5 DDD。约50%的首次处方是在与家庭咨询或家访相关的直接医患接触中开具的,但续方中只有17%是这样开具的。全科医生开具的精神药物估计占奥胡斯郡精神药物的近90%。

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