摘要
目的:为促进老年患者常用药品说明书规范化提供参考。方法:收集我院2013-2014年门诊处方,将老年患者(≥60岁)常用药品按用药金额排序,对前100位药品的说明书进行缺项统计和分析。结果:100种老年患者常用药品包含中成药28种,化学药品72种。中成药说明书缺项较多,主要是药动学和药物过量(均为92.9%)、老年用药(85.7%)、药物相互作用(78.6%)、药理作用(50.0%);禁忌(16/28)、不良反应(15/28)和注意事项(9/28)尚不明确的比例较高。化学药品说明书各项较中成药齐全,缺项主要是药动学和药物过量(均为5.6%)、老年用药和药理作用(均为2.8%)、药物相互作用(1.4%);老年用药(16/72)、药物相互作用和药物过量(均为12/72)尚不明确的比例偏高。结论:老年患者常用药品说明书中普遍存在用药各项内容缺失、表述不明确等问题,应进一步完善说明书各项,加强药品说明书规范性。
OBJECTIVE：To provide reference for the standardization of package insert of common drugs for elderly patients.METHODS：Outpatient prescriptions in our hospital from 2013 to 2014 were collected,and common drugs of elderly patients（≥60 years old）were ordered by consumption sum,and package inserts of top 100 drugs were statistically analyzed for absent items.RESULTS：The 100 common drugs for elderly patients included 28 Chinese traditional drugs and 72 chemical drugs. The Chinese traditional drug had more absent items,mostly were pharmacokinetics and drug overdose（92.9%）,medication of elderly patients（85.7%）,drug interactions（78.6%）and pharmacological actions（50.0%）;the proportion of contraindications（16/28）,adverse reactions（15/28）and precaution（9/28）with uncertainty was relatively high. Items of chemicals package insert were better than Chinese traditional drug,absent items were pharmacokinetics and drug overdose（5.6%）,medication of elderly patients and pharmacological actions（2.8%） and drug interactions（1.4%）;the proportion of medication of elderly patients（16/72）,drug interaction and drug overdose（12/72）with uncertainty was relatively high. CONCLUSIONS：The common problem existing in the drug manual is characterized by absence of usage for elderly,drug descriptions is not clear,etc. Package inserts should be further improved to strengthen its standardization.
出处
《中国药房》
CAS
北大核心
2015年第33期4623-4625,共3页
China Pharmacy
关键词
老年患者
常用药品
药品说明书
缺项
分析
Elderly patient
Common drug
Package insert
Absent items
Analysis
