老年人多药治疗的评价与干预

中华老年医学杂志 Pub Date : 2019-10-14 DOI:10.3760/CMA.J.ISSN.0254-9026.2019.10.010

Zaijin Jian

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引用次数: 0

摘要

The prevalence and harm of multiple medication use in the elderly are high, and it is worthy of high clinical attention. The coexistence of multiple diseases in the elderly, multiple medical consultations, failure to stop medication in a timely manner, self purchase of over-the-counter drugs, and prescription waterfall are the reasons for multiple medication use. The main risk factors include elderly age, low body weight, ≥ 6 chronic diseases, 9 types of creatinine clearance rate drugs, daily medication ≥ 12 doses, high-risk drugs, and a history of adverse drug reactions. Multiple medication use in the elderly can increase the incidence and mortality rate of disability in the elderly, It has become a serious global public health problem. This article focuses on the relevant content of multiple medication for the elderly, with the aim of improving the understanding of medical workers on multiple medication for the elderly.

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Evaluation and intervention of polypharmacy in the elderly

老年人多重用药的患病率高、危害大，值得临床高度重视。老年人多病共存、多科就诊、未及时停药、自行购买非处方药和处方瀑布等是导致多重用药的原因，主要危险因素有高龄、低体重、患≥6种慢病、肌酐清除率 9种药物、每天服药≥12剂、高危药物、药物不良反应史等，老年人多重用药会增加老年人失能的发生率和病死率，已成为全球严重的公共卫生问题。本文重点讨论老年人多重用药的相关内容，旨在提高医务工作者对老年人多重用药的认识。

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来源期刊

中华老年医学杂志

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8523

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