一家综合医院中镇静催眠药物的使用情况综述。

A review of the utilization of sedative-hypnotic drugs in a general hospital.

作者信息

Picone D A, D'Mello D A, Foote M L, Msibi B

机构信息

Department of Psychiatry, Michigan State University, St. Lawrence Hospital, Lansing 48915.

出版信息

Gen Hosp Psychiatry. 1993 Jan;15(1):51-4. doi: 10.1016/0163-8343(93)90091-2.

DOI:10.1016/0163-8343(93)90091-2

PMID:8436285

Abstract

A retrospective review of 493 patients treated during a single month in a general hospital in mid-Michigan revealed that a majority (84.2%) of them received prescriptions for sedative-hypnotic drugs. These were p.r.n. in 66% of cases and routine prescriptions in the remainder. Prescriptions were equally distributed across the specialties: internal medicine 15%, surgery 23%, family practice 19%, psychiatry 22%, and OB/GYN 20%. Flurazepam was the most frequently prescribed drug (48.4%), followed by triazolam (24.6%) and temazepam (12.2%). Actual utilization rates were highest among psychiatric patients (85%) and lowest in obstetrics (33%). The therapeutic rationale for prescribing sedative hypnotic agents to hospitalized patients is discussed.

摘要

对密歇根州中部一家综合医院在一个月内治疗的493名患者进行的回顾性研究显示，其中大多数（84.2%）患者接受了镇静催眠药物处方。这些处方在66%的病例中是按需开具的，其余为常规处方。处方在各专科中分布均匀：内科15%，外科23%，家庭医学19%，精神病学22%，妇产科20%。氟西泮是最常开具的药物（48.4%），其次是三唑仑（24.6%）和替马西泮（12.2%）。实际使用率在精神病患者中最高（85%），在产科患者中最低（33%）。本文讨论了为住院患者开具镇静催眠药的治疗原理。