肾功能不全老年患者用药分析

Analysis on drugs application in elderly patients with renal insufficiency

目的总结临床上对于肾功能不全老年患者的用药情况，发现其中存在的问题并分析其原因。方法对2012年下半年我院肾功能不全老年患者随机抽取180例，根据药品说明书分析其用药情况。结果医生开具的医嘱中7．5％为重度肾功能不全患者禁用的药物，34．1％为慎用或需减量使用的药物。各科各系统均有用药不适宜的情况。结论临床上对于肾功能不全的患者的用药依然存在着较大的问题，需要临床药师制定出合理的用药规范去发现那些潜在的不合理用药，减少患者发生不良反应的可能性。

Objective To summarize the clinical medicine treatment in elderly patients with renal dysfunction, in order to discover the existing problems and analyze the reasons. Methods One hundred and eighty cases of senile patients with renal insufficiency were randomly selected in the second half of 2012 to analyze medication states based on the medication standard. Results Medical advices prescribed by doctors showed that 7.5% of drugs were forbidden used in patients with severe renal insufficiency, and 34. 1 % of drugs should be used with caution or reduction requirements. Each department and system had irrational drug using. Conclusions There are a large problem in the clinical medication in patients with renal insufficiency, and a reasonable medication standard needs to be established to find out potential irrational drug using so as to reduce the possibility of adverse reactions.