老年住院患者潜在不适当用药情况分析  

Analysis of potential inappropriate medication use among elderly hospitalized patients

作　　者：倪清清 王勇[1] 王娜[1] 陈琼[1] 林凤梅 王柯莉 NI Qingqing;WANG Yong;WANG Na;CHEN Qiong;LIN Fengmei;WANG Keli(Department of Pharmacy,the First People′s Hospital of Chuzhou,Chuzhou 239000,China)

机构地区：[1]安徽医科大学附属滁州医院药剂科,滁州239000

出　　处：《中国临床保健杂志》2024年第3期394-398,共5页Chinese Journal of Clinical Healthcare

摘　　要：目的调查分析老年住院患者潜在不适当用药情况,减少用药风险。方法参照《中国老年人潜在不适当用药判断标准(2017年版)》,对安徽医科大学附属滁州医院8423例65岁以上老年患者用药情况进行评价,检出潜在的不适当用药处方。结果5107例(60.63%)患者均存在潜在的不适当用药,其中与药物种类相关不适当用药7658项,与疾病状态相关不适当用药860项,主要涉及抗血小板药物、非甾体抗炎药、胰岛素、苯二氮[艹卓]类。老年患者潜在不适当用药的关键影响因素为联合用药数。结论老年患者普遍存在潜在不适当用药情况,应积极采取药学干预。Objective To investigate and analyze the occurrence of potential inappropriate drug use of elderly hospitalized inpatients,so as to reduce the risk of drug use.Methods According to the criteria for judging the potential inappropriate use of drugs for the elderly in China(2017),8423 elderly patients over 65 years old in the First People′s Hospital of Chuzhou were evaluated to detect the potential inappropriate use of drugs.Results A total of 5107 subjects(60.63%)existed potentially inappropriate medication,including 7658 inappropriate medication related to the type of drug and 860 inappropriate medication related to the disease state,mainly involving anti-platelet drugs,insulin,BZDs and NSAIDs.The key factor on potentially inappropriate medication in elderly inpatients was the combined use of drugs.Conclusions Potential inappropriate drug use is common in elderly patients,and pharmacological interventions should be actively adopted.

关 键 词：处方不当 潜在不当用药清单 影响因素分析 住院病人 老年人 

分 类 号：R95[医药卫生—药学]