2012-2016年解放军总医院抗抑郁药物应用分析

Antidepressants use in Chinese PLA General Hospital from 2012 to 2016

  • 摘要: 目的 评估解放军总医院抗抑郁药的使用情况,为临床合理用药提供参考。 方法 对解放军总医院2012 - 2016年抗抑郁药的销售金额、用药频度(defined daily dose system,DDDs)、限定日费用(defined daily cost,DDC)等进行统计分析。 结果 2012 - 2016年,解放军总医院共使用了13种抗抑郁药物,抗抑郁药物的销售金额、DDDs逐年增长,各年度抗抑郁药的DDC相对稳定。选择性5-羟色胺重摄取抑制剂(selective serotonin reuptake inhibitor,SSRIs)、选择性5-羟色胺和去甲肾上腺素双重重摄取抑制剂(norepinephrine reuptake inhibitor,SNRIs)在解放军总医院临床用药中占主要地位,分别占用药金额的55% ~ 75%和20% ~ 30%;盐酸帕罗西汀片、草酸艾司西酞普兰片、盐酸舍曲林片的DDDs和销售金额一直居前5位。 结论 抗抑郁药物的临床应用逐步增多,SSRIs和SNRIs在解放军总医院抗抑郁药使用中占主导地位。

     

    Abstract: Objective To investigate the use of antidepressants in Chinese PLA General Hospital, so as to provide evidences for the rational drug use in clinical practice. Methods Defined daily dose (DDD) metric recommended by WHO was adopted, statistical analysis was conducted on the consumption sum, defined daily dose system (DDDs), defined daily cost (DDC) of antidepressants in Chinese PLA General Hospital from 2012 to 2016. Results From 2012 to 2016, 13 antidepressants were used. DDDs and consumption sum of antidepressants showed an increasing trend year by year in Chinese PLA General Hospital. DDC didn't change significantly. Selective serotonin reuptake inhibitor (SSRIs) and norepinephrine reuptakeinhibitor (SNRIs) had been prescribed predominantly. The consumption sum of SSRIs and SNRIs accounted for over 55% - 75% and 20% - 30% in the total consumption sums of antidepressant drugs, respectively. DDDs and consumption sum of paroxetine, escitalopram and sertraline ranked in the top five. Conclusion Antidepressant drugs uses show an increasing trend in Chinese PLA General Hospital. SSRIs and SNRIs are the most commonly prescribed types of amtidepressants.

     

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