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某三级综合医疗机构开展药物滥用监测的实践与分析

Practice and analysis of drug abuse monitoring in a tertiary comprehensive medical institution

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【作者】 陈凯张茂

【Author】 CHEN Kai;ZHANG Mao;Clinical Pharmacy Room of Yibin First People’s Hospital;

【机构】 宜宾市第一人民医院临床药学室宜宾市第一人民医院药学部

【摘要】 目的 探索综合性医疗机构开展药物滥用监测工作的方法,分析药物滥用使用情况,为医疗机构开展药物滥用监测工作提供借鉴。方法 通过建立实时监测模式与回顾性分析模式,重点关注收集广义药物滥用中的有害使用及药物依赖情况,辅以相关管理措施来开展药物滥用的监测工作,最终汇总药物滥用信息表进行分析。结果 2021~2022年开启监测工作后,上报的药物滥用数量为196份,通过国家药物滥用上报监测网审核为181份。男性70例,占38.7%,女性111例,占比61.3%。主要以抗焦虑、镇静催眠类药物为主,抗焦虑、改善睡眠的药物有157例,占比86.7%。年龄大于65岁的有50例,占比27.6%。初中文化程度有62例,占比34.3%,高中(中专/技校)文化程度有46例,占比25.4%,小学文化程度有45例,占比24.9%;离/退休人员有44例,占比为24.3%。结论 医疗机构在院内开展药物滥用监测,重点关注有害使用及药物依赖情况,可及时、有效地收集药物滥用、行为特征及相关信息,分析医院药物滥用流行趋势,发现药物滥用风险。

【Abstract】 Objective To explore the methods of drug abuse monitoring in comprehensive medical institutions, analyse the situation of drug abuse use and provide reference for drug abuse monitoring in medical institutions. Methods Drug abuse monitoring was carried out through real-time monitoring and retrospective analysis model, focus on collecting information on harmful use and drug dependence in the broad sense of drug abuse, complemented by relevant management measures, finally summarize the drug abuse information table for analysis. Results From 2021 ~ 2022, the number of reported drug abuse in our hospital was 196 cases, 181 cases were reviewed by the National Drug Abuse Reporting Monitoring Network.There were 70 males(38.7%) and 111 females(61.3%). The main focus was on anti-anxiety and sedative-hypnotic drugs, with 157 cases(86.7%) on anti-anxiety and sleep improving drugs. There were 50 cases aged over 65 years old, accounting for 27.6%. There were 62 cases(34.3%) with junior high school education, 46 cases(25.4%) with high school(secondary/technical school) education and 45 cases(24.9%) with primary school education. There were 44 cases who left/retired, accounting for 24.3%. Conclusion Medical institutions carry out drug abuse monitoring, focus on harmful use and drug dependence can timely and effectively collect drug abuse, behavioral characteristics and relevant information, analyse hospital drug abuse prevalence trends and identify drug abuse risks.

  • 【文献出处】 中国处方药 ,Journal of China Prescription Drug , 编辑部邮箱 ,2024年05期
  • 【分类号】R95
  • 【下载频次】26
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