老年内科住院患者的口服药物用药分析  

Analysis of clinical use of oral drugs in elderly geriatric inpatients

作　　者：黄颖[1] 薛临萍[1] 王芳[1] 姚晓东[1] 

机构地区：[1]山西省人民医院老年医学科,太原030012

出　　处：《中国医师进修杂志》2017年第2期114-116,共3页Chinese Journal of Postgraduates of Medicine

基　　金：山西省科技攻关项目（20140313012-2）

摘　　要：目的：分析老年内科住院患者口服药物中的不恰当用药情况，指导老年患者临床合理用药。方法收集老年医学科行老年综合评估后的100份65岁以上患者的病历资料，以2012年版Beers标准为依据并借助药品说明书调查潜在的不恰当用药。结果100例患者中，联合用药数（5.81±2.78）种。超说明书用药1例。不符合Beers标准的潜在不恰当用药21例，其中3例为与诊断或疾病无关的潜在不恰当用药，4例为与疾病状态相关的潜在不恰当用药，14例使用了老年患者需慎用的药物。结论行老年综合评估后仍存在少量潜在的不恰当用药和超说明书用药。临床医师应加强对老年综合评估的认识及应用，继续加强对用药合理性的评估。Objective To analyze the inappropriate use of oral drugs in elderly patients admitted in internal medicine, and to guide clinical rational drugs use in elderly patients. Methods One hundred inpatients′ data over 65 years were collected in the department of geriatrics. The potentially inappropriate use of oral drug were analyzed according to the Beers criteria published in 2012 and drugs instructions. Results In 100 patients, （5.81 ± 2.78） kinds of oral drugs had been taken per inpatient. One patient was involved out-of-label usage. There were potentially inappropriate uses of oral drugs in 21 patients. Inappropriate use of oral drugs in three patients were not related to diagnosis or disease, and in 4 patients were related to morbid state, 14 patients used drugs that need to be used with caution in older adults. Conclusions There are off-label uses and potentially inappropriate medications in clinical practice, so clinical doctors should examine and assess the uses of drugs. Clinical doctors should strengthen the understanding and application of the comprehensive geriatric assessment.

关 键 词：老年医学 药物评价 Beers标准 

分 类 号：R95[医药卫生—药学]