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目的:关注老年患者用药安全,促进合理用药。方法:以Beers(2012年版)标准为主要依据。对我院3012位老年患者进行潜在性不合理用药(PIM)评价分析。结果:根据Beers标准判断,共有162例(5.4%)至少发生了一种PIM,其中129例(4.6%)使用了老年人应避免使用的药物,46例(1.5%)使用了老年人应慎用的药物,13例存在两种PIM情况。354例(11.8%)发生了Beers标准未包括的PIM。尚未发现与诊断或疾病状态相关的潜在性不适当用药。结论:Beers标准是专业判断的重要补充,门诊老年患者潜在不当用药需要综合评价标准。
Objective: Pay attention to drug safety in elderly patients and promote rational drug use. Method: Beers (2012 edition) standards as the main basis. Potential Unreasonable Drugs (PIM) evaluation of 3012 elderly patients in our hospital. RESULTS: According to the Beers criteria, at least 162 PIMs (5.4%) occurred in at least one type of PIM, of which 129 (4.6%) used drugs that the elderly should avoid and 46 (1.5%) used the elderly should be cautious Used drugs, 13 cases exist two kinds of PIM situation. 354 cases (11.8%) had PIMs not covered by the Beers standard. No potential inappropriate medication associated with diagnosis or disease status has been found. Conclusion: The Beers standard is an important supplement to professional judgment. Potential inappropriate medication for outpatients with geriatric needs comprehensive evaluation criteria.