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[全科医生开具苯二氮䓬类药物的情况——如何改变用药习惯?]

[Prescription of benzodiazepines by general practitioners--how can habits be changed?].

作者信息

Osler M, Klebak S

出版信息

Ugeskr Laeger. 1989 May 8;151(19):1178-9.

PMID:2734892
Abstract

During the period 23.11.1987-6.12.1987, the medical offices of health in the County of Copenhagen and in Frederiksberg undertook an analysis of prescriptions with the object of illustrating the prescriptions of benzodiazepines by ten general practitioners. The investigation included a total of 260 prescriptions for benzodiazepines. On an average, 92 defined daily doses were prescribed per 1,000 women over 15 and 52 defined daily doses per 1,000 men over 15 years. An age-corrected review of the prescriptions revealed scatter in the prescriptions by the practitioners of approximately 300% (29-102 defined daily doses per 1,000 patients per day). All of the practitioners prescribed most for women in the age group 40-70 years. Compared with a corresponding investigation in Roskilde County in 1986, the general practitioners prescribed fewer defined daily doses at a time, after the possibility for repeated issue of prescriptions for benzodiazepines was annulled as from 1.1.1987.

摘要

在1987年11月23日至1987年12月6日期间,哥本哈根郡和腓特烈斯贝的卫生医疗办公室对处方进行了分析,目的是举例说明十位全科医生开具的苯二氮䓬类药物处方情况。该调查共涉及260张苯二氮䓬类药物处方。平均而言,每1000名15岁以上女性的处方量为92限定日剂量,每1000名15岁以上男性的处方量为52限定日剂量。对处方进行年龄校正后的审查显示,医生开具的处方量差异约为300%(每天每1000名患者29 - 102限定日剂量)。所有医生为40 - 70岁年龄组的女性开具的处方最多。与1986年罗斯基勒郡的一项相应调查相比,自1987年1月1日起取消苯二氮䓬类药物重复开药的可能性后,全科医生每次开具的限定日剂量减少了。

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