老年人脑血管病的合理用药  

Rational medication in cerebrovascular disease for the elderly

作　　者：邵文[1] 杜怡峰[1] 

机构地区：[1]山东大学附属山东省立医院神经内科,济南250021

出　　处：《中华老年多器官疾病杂志》2015年第8期573-577,共5页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：脑血管疾病是一类发病率高、致残率高和死亡率高的疾病，急性脑血管病又称为脑卒中。老年卒中患者较青年卒中患者预后较差。规范化诊疗有利于降低其死亡率和致残率。药物治疗为脑血管病治疗的主要方式之一，但老年人存在代谢慢、血管弹性差、常并发多器官疾病等特点，应考虑其特殊性给予合理用药。急性缺血性脑卒中（AIS）和脑出血（ICH）为老年人中最常见的脑血管病，本文主要针对其合理药物治疗进行总结和概述。Cerebrovascular diseases are a group of brain dysfunctions related to disease of the blood vessels supplying the brain, and characterize by high incidence, high morbidity and high mortality. Acute cerebrovascular disease is also known as stroke. Elderly stroke patients have poor prognosis than those young. Standardized diagnosis and treatment of stroke are helpful to reduce the mortality and morbidity. Drug therapy is one of the main options in the treatment of the disease. However, the elderly patients have the characteristics of slow metabolism, poor elasticity of blood vessels and commonly co-existing multiple organ disorders. In this paper, we summarized and overviewed the rational use of medication for acute ischemic stroke （AIS） and intracerebral hemorrhage （ICH）, the most common types of cerebrovascular diseases in the elderly.

关 键 词：脑血管障碍 急性缺血性脑卒中 脑出血 药物疗法 

分 类 号：R592[医药卫生—老年医学] R743[医药卫生—内科学]