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目的探讨老年人常见药物的不良反应及合理用药情况。方法 90例老年人为研究对象,观察其药物种类和用药方式,总结常见药物不良反应的原因、特点。结果老年人常见不良反应以皮肤损害与中枢神经系统症状为多,分别占36.67%和27.78%。引起不良反应的药物中,抗菌药物出现比例最多为38.89%,其次是心脑血管病药物22.22%。多药合用46例(51.11%)。中药西药联用37例(41.11%),单纯西药7例(7.78%)。结论老年人常见药物不良反应种类较多,临床工作者应重视指导患者合理药物,减少常见药物不良反应。
Objective To investigate the adverse reactions of common drugs in the elderly and the rational use of drugs. Methods Ninety elders were selected as study objects to observe the types of drugs and the way of using them. The causes and characteristics of common adverse drug reactions were summarized. Results The common adverse reactions in the elderly were skin lesions and central nervous system symptoms, accounting for 36.67% and 27.78% respectively. Among the drugs that caused adverse reactions, the highest proportion of antimicrobial drugs was 38.89%, followed by 22.22% of cardiovascular and cerebrovascular drugs. Multi-drug combination of 46 cases (51.11%). There were 37 cases (41.11%) of traditional Chinese medicine combined with western medicine and 7 cases (7.78%) of western medicine alone. Conclusion There are many kinds of common adverse drug reactions in the elderly. Clinicians should pay more attention to guiding patients’ rational drugs and reduce common adverse drug reactions.