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目的:了解天津市医疗机构使用抗抑郁剂的分布特点。方法:使用《天津市医疗机构精神卫生服务状况调查问卷》调查2006年天津市364家各级医院传统抗抑郁剂和新型抗抑郁剂的使用情况。结果:2006年天津市抗抑郁剂的使用以新型抗抑郁剂为主,占54.9%。前五位使用的药物依次为氟哌塞吨美利曲辛、氯丙米嗪、多虑平、帕罗西汀和阿米替林,主要由市内六区的三级医院使用。综合医院使用的抗抑郁剂占使用总量的40%。结论:我市可获得的抗抑郁剂种类丰富,综合医院使用的比例接近精神专科医院。有必要评估综合医院抗抑郁剂的使用是否合理。
Objective: To understand the distribution of antidepressants in medical institutions in Tianjin. Methods: To investigate the use of traditional antidepressants and new antidepressants in 364 hospitals at all levels in Tianjin in 2006 by using the Questionnaire on the Status of Mental Health Services in Medical Institutions in Tianjin. Results: The use of antidepressants in Tianjin in 2006 was mainly new antidepressants, accounting for 54.9%. The top five drugs used were flurbipril, melitrace, clomipramine, doxepin, paroxetine and amitriptyline, which were used by tertiary hospitals in six districts of the city. Antidepressants used in general hospitals account for 40% of the total use. Conclusion: There are abundant types of antidepressants available in our city. The proportion of general hospitals is close to that of psychiatric hospitals. It is necessary to assess the rational use of antidepressants in general hospitals.