摘要
不适当药物的使用是导致老年人发病和死亡的一个重要原因。文章介绍了国际上广泛应用的两个老年人用药指南。Beers标准介绍了48种药物在老年人中应避免使用或限量使用和20种老年人特定病症不宜使用药物的理由及危害等级。加拿大标准介绍了38种药物在老年人中应避免使用,并对老年人不适当处方行为提出了替代治疗方案。推广两个指南的应用,将有利于改善老年人不适当药物应用的局面,使老年人少受药物不良反应的危害。
Summary： Inappropriate medication use is one of the most important factors causing outbreak of a disease or death in older adults. This paper introduced the criteria of medication use for older adults widely accepted internationally. Beers criteria identified 48 individual medications or classes of medication to be avoided in older adults and their potential concerns, and 20 diseases and medications to be avoided in older adults with these conditions. Canadian criteria identified 38 medications to be avoided in older adults, and for each practice, alternative therapies were recommended. To popularize the use of Beers criteria and Canadian criteria would help to reduce inappropriate medication use in older adults and minimize adverse drug reaction.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2011年第1期17-21,共5页
Chinese Journal of Practical Internal Medicine
关键词
药物不良反应
不适当药物
Beers标准
加拿大标准
老年人
adverse drug reaction
inappropriate medication use
Beers criteria
Canadian criteria
older adults
