老年慢病药物处方审核要点

Key Points of Drug Prescription Review for Elderly Patients with Chronic Disease

目的总结老年慢病处方存在的潜在不适当用药问题,提出老年慢病药物处方审核要点。方法通过汇总、删重和整合国内外发布的有关老年潜在不适当用药判断标准和目录,结合我国老年人用药特点,归纳老年慢病药物处方重点审核品种、问题以及处方审核要点。结果老年慢病药物处方审核要点主要包括药物选择适宜性、联合用药适宜性、用药剂量适宜性等3大类内容。结论老年人生理情况特殊,老年慢病患者一般多病共存,用药繁杂。掌握老年慢病药物处方审核要点,结合老年人生理状态及伴随疾病审核处方用药适宜性,有利于提高老年患者用药安全性和有效性。

Objective To summarize the potential inappropriate drug use problems in the prescriptions of elderly patients with chronic diseases,and to conclude the key points in reviewing the prescriptions of elderly with chronic disease.Methods By integrating the judgment standards and catalogues of domestic and international reports,regarding the potential inappropriate drug use of the elderly,and combining with the characteristics of drug use in China,the key points of prescription review for the elderly chronic disease were concluded.Results The key points of prescription review for elderly with chronic disease included:the suitability of drug selection,the suitability of combined medication,and the suitability of medication dosage.Conclusion Due to the special physical status,many basic diseases and complicated medication use,conducting prescription review with these key points could improve the safety and effectiveness of medication for elderly patients with chronic disease.