我院老年住院病人潜在不适当用药分析  

Analysis of Potentially Inappropriate Medication for Elderly Patients

作　　者：崔健毓 刘俊梅[2] 袁浩宇 CUI Jian-yu;Liu Jun-mei;YUAN Hao-yu(Department of Pharmacy,the Second Affiliated Hospital of Chengdu Medical College,China National Nuclear Industry Corporation 416 Hospital,Chengdu 610051,China;Department of Pharmacy,General Hospital of Ningxia Medical University,Yinchuan,Ningxia 750004,China)

机构地区：[1]成都医学院第二附属医院·核工业四一六医院药剂科,四川成都610051 [2]宁夏医科大学总医院药剂科,宁夏银川750004

出　　处：《海峡药学》2020年第10期87-91,共5页Strait Pharmaceutical Journal

基　　金：四川省卫生和计划生育委员会科研课题(编号17PJ570)。

摘　　要：目的根据中国老年人潜在不适当用药判断标准分析我院心内科老年患者不适当用药发生率,确定不适当用药发生的相关因素。方法回顾性分析心内科老年病人不适当用药情况,使用logistic回归分析确定不适当用药发生的相关因素。结果共纳入225例病例,病人平均年龄(73.09±7.73)岁;平均住院天数(9±6.42)天;平均疾病种数(7±4.97)种;平均用药种数(8±4.67)种,111例(49.3%)病人发生不适当用药;logistic结果提示,用药种数与不适当用药的发生呈正相关。结论我院心内科老年病人不适当用药发生率较高,医务人员应加强个体化用药,减少药物种类。OBJECTIVE To evaluate potentially inappropriate medication(PIM)for elderly patients in the department of cardiology,analyze the risk factors of PIM.METHODS Cross-sectional survey was used to evaluate PIM in elderly patients.A logistic regression study was used to identify the risk factors of PIM.RESULTS Total 225 patients were included,aged(73.09±7.73)years,the average hospital stay length was(9±6.42)days,the average kinds of disease were(7±4.97),and the average kinds of the drug were(8±4.67).111 patients(49.3%)had at least one PIM.Logistic regression analysis showed that there was a positive correla tion between the number of drugs used and the occurrence of inappropriate drugs.CONCLUSION Tur prevalence of PIM in elderly patients of cardiology is high and needs to be paid much attention.

关 键 词：潜在不适当用药 心内科 老年人 合理用药 

分 类 号：R969.3[医药卫生—药理学]