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[巴比妥类药物的注销登记。1年后的随访研究]

[Deregistration of barbiturates. A follow-up study after 1 year].

作者信息

Holm M

出版信息

Ugeskr Laeger. 1989 Aug 21;151(34):2136-9.

PMID:2773145
Abstract

On January 1st 1986, all hypnotics and sedatives containing barbiturates were removed from the Danish Drug Register. After one year, a follow-up investigation of previous barbiturate users was undertaken with the object of investigating the significance of various factors for cessation or continuation of use of psychotropic drugs in connection with the removal of barbiturates from the Danish Drug Register. The investigation was carried out of a questionnaire investigation in general practice with participation of 82 practices. Information was obtained concerning 141 previous barbiturate users. Twenty-four of these had stopped (17%, 95% confidence limits 11-23) having psychotropic drugs prescribed during the course of the year in question. In particular, patients without or with slight mental conditions ceased using drugs (p = 0.02). An age and sex stratified analysis revealed that more patients who had obtained the preparation by direct doctor-patient contact stopped the habit (odds ratio 3.00, 95% confidence limits 1.04-8.61). Other factors were without significant significance for continued use or cessation, respectively. In 75% of the patients, adjustment was, in the opinion of the general practitioner, easy. Out of 105 patients who continued to have psychotropic drugs prescribed and where the preparation employed was known, 90 (86%) were prescribed benzodiazepines.

摘要

1986年1月1日,所有含巴比妥酸盐的催眠药和镇静剂从丹麦药品登记册中移除。一年后,对之前使用巴比妥酸盐的用户进行了随访调查,目的是研究在巴比妥酸盐从丹麦药品登记册中移除的情况下,各种因素对精神药物停用或继续使用的影响。该调查通过在82家普通诊所进行问卷调查来开展。获取了141名之前使用巴比妥酸盐的用户的信息。其中24人(17%,95%置信区间11 - 23)在相关年份中停止了开具精神药物处方。特别是,没有精神疾病或患有轻度精神疾病的患者停止了用药(p = 0.02)。一项按年龄和性别分层的分析显示,通过直接医患接触获得药物制剂的患者中,更多人戒除了该习惯(优势比3.00,95%置信区间1.04 - 8.61)。其他因素对继续使用或停用分别没有显著影响。在75%的患者中,全科医生认为调整很容易。在105名继续开具精神药物处方且已知所使用制剂的患者中,90人(86%)被开具了苯二氮䓬类药物。

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