呼吸科110例老年患者不合理用药分析

Analysis of 110cases of irrational drug use of elderly patients in the department of respiration

目的：了解医院呼吸科老年患者不合理用药的情况，促进合理用药。方法采用病例回顾性调查分析的方法，抽查2011年6月~2012年5月呼吸科老年患者出院病例，筛选出不合理用药的病例进行统计分析。结果不合理用药的表现形式以药品选用不适当（42.1%）最多见，其次是给药途径或用法、用量不适当（24.6%），合并用药不当（21.1%），引发药源性疾病（12.3%）。结论呼吸科老年患者处于特殊病理、生理时期，常多病并存，应严格掌握用药指征和用药禁忌证，选择最佳给药途径和剂量，加强医、药、护、患的沟通，提高用药依从性。

Obj ective To understand the irrational drug use of elderly patients in the department of respiration,and to promote the rational drugs use in our hospital.Methods We conducted a retrospective analysis on cases from the department of respiration, which were selected from June in 2011 to May in 2012 and performed a statistical analysis on the irrational drug use.Results The most common manifestations of irrational drug use were improper selection （42.1% ）,followed by the route of administration or usage,inadequate dosage （24.6% ）,combined use of drugs （21.1%）and causing drug-induced diseases （12.3%）.Conclusio-n Elderly patients in the department of respiration are in a special physiological period.Indications and medication contraindications should be strictly controlled.Choosing the suitable route of administration and dose,strengthening the communications with doc-tors,pharmacists,nurses and patients are effective ways to increase drug compliance.