用药合理性指数量表在老年患者处方审查中的应用研究进展  

Research progress of medication appropriateness index application in prescription review in elderly patients

作　　者：蔡俊[1] 李慧馨 聂力[3] 韩丹 张晋萍[3] Cai Jun;Li Huixin;Nie Li;Han Dan;Zhang Jinping(Office of Party&Administration Council,Nanjing Drum Tower Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,China;Department of Pharmacy,Jiangsu Province Hospital of Traditional Chinese Medicine,Nanjing 210029,China;Department of Pharmacy,Nanjing Drum Tower Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院党政办公室,南京210008 [2]江苏省中医院药学部,南京210029 [3]南京大学医学院附属鼓楼医院药学部,南京210008

出　　处：《药物不良反应杂志》2021年第12期644-648,共5页Adverse Drug Reactions Journal

基　　金：江苏省药学会—天晴(连云港)医院药学科研项目(Q2019024);南京药学会—常州四药医院药学科研基金(2019YX016)。

摘　　要：用药合理性指数(MAI)量表设置了适应证、疗效、药物剂量、给药方法的正确性、给药方法的切实性、药物-药物相互作用、药物-疾病/异常状态相互作用、重复用药、药物疗程以及药物价格等10个条目评价处方用药合理性,具有较好信度,可用于评价老年患者用药合理性、非必需用药情况、潜在不适当用药情况,验证不合理用药检测软件的可靠性和效果,量化临床干预措施,以及预测不良事件及生活质量的作用。因MAI量表涉及主观判断,使用前应对评价者进行培训。Medication rationality index(MAI)scale sets up 10 items to evaluate the rationality of prescription medication,including indication,effectiveness,dosage,correct direction,practical direction,drugdrug interaction,drugdisease interaction,duplication,duration,and cost.MAI scale has good reliability,which can be used to evaluate the rationality of drug use and the nonessential drug use,the potential inappropriate medication in elderly patients,verify the reliability and effect of irrational drug use detection software,quantify clinical intervention measures,and predict adverse events and quality of life.Since MAI scale application involves subjective judgment,evaluators should be trained before use.

关 键 词：老年人 药物利用评审 用药合理性指数量表 

分 类 号：R969.3[医药卫生—药理学]