选择性精神药物的处方和中毒率之间的关联:一项纵向观察性研究
Matej Dobravc Verbič1,2, Iztok Grabnar2, Miran Brvar1,3
1Centre for Clinical Toxicology and Pharmacology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
与抗抑郁药物相比,精神药物如抗焦虑药和抗精神病药显示出更高的中毒风险. 处方率与中毒事件有很强的相关性,有助于毒素流行病学.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 毒理学 毒理学 毒理学
背景情况:
- 精神药物药物经常与中毒事件有关.
- 了解处方模式与中毒风险之间的关系对于公共安全至关重要.
研究的目的:
- 进行心理药物中毒的比较风险评估.
- 分析药物处方率与中毒事件之间的相关性.
主要方法:
- 斯洛文尼亚成年人的全国观测研究 (2015-2021年).
- 使用了国家毒药登记册和发行数据 (定义的每日剂量) 的数据.
- 使用皮尔森相关系数计算的中毒/处方比率和评估的趋势相关性.
主要成果:
- 记录了2640个涉及精神药物处方药的中毒病例.
- 抗焦虑药和抗精神病药是最常见的药物类别.
- 米达佐拉姆,甲,克洛纳泽帕姆,硫皮化物和奎蒂亚平呈现出最高的中毒风险.
- 抗抑郁药显示,中毒风险显著降低.
- 一百万定义的每日剂量增加与分别对抗精神病药,抗药和抗抑郁药的50,20和5次中毒事件相关.
结论:
- 药物中毒/处方比率为比较各种精神药物中毒风险提供了定量衡量标准.
- 处方趋势,特别是在事件发生前的2年期间,与中毒率相关.
- 这项研究增强了对心理药物毒性流行病学的理解.
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