老年共病与多重用药的应对策略

Countermeasures for Polypharmacy in the Elderly with Comorbidity

老年人在器官衰老、功能减退的过程中,患慢性病的数量逐渐增加,常导致多病共存状态,即共病;多种疾病的治疗致使多药服用从而引发用药安全及一系列的安全问题。目前老年共病及由此带来的多重用药现象越来越普遍。本文介绍老年共病及多重用药的现状,分析多重用药的原因及可能带来的影响,并对相应对策进行阐述,为临床决策提供参考。

In the process of organ aging and hypofunction,the kinds of chronic diseases that the elderly suffer from gradually increase, which often leads to the coexistence of many diseases, i. e., comorbidity. The treatment of a variety of diseases requires polypharmacy,which results in problems in drug safety and other safety issues. At present,the comorbidity and associated polypharmacy in the elderly are becoming commonplace. We introduced the current status of comorbidity and polypharmacy in the elderly, analyzed the causes and likely impact of polypharmacy and put forward the corresponding countermeasures,so as to provide a reference for clinical decision making.