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目的回顾性分析伴心房颤动(房颤)的老年脑卒中患者出院带药处方,为合理用药提供参考。方法采用Beers标准对286例神经内科出院的伴房颤的老年脑卒中患者出院带药处方的潜在不适当用药(PIM)进行评价。结果 286例患者中共192例(67.13%)患者发生≥1种PIM。根据Beers标准判断的PIM共161例(56.29%),其中老年患者不适当药物60例(20.98%),与疾病或生理状态相关的PIM 13例(4.55%),老年患者需慎用的药物88例(30.77%)。Beers标准未包括的PIM共31例(10.84%),以重复用药、药物相互作用及用药频次错误为主。结论伴房颤的老年脑卒中患者出院带药品种多,潜在的不适当用药发生率高,Beers标准可在一定程度上对老年患者提供合理用药参考。
Objective To retrospectively analyze the prescriptions of elderly stroke patients with atrial fibrillation (AF) discharged from the hospital for reference for rational drug use. Methods A Beers criteria was used to evaluate the potential inappropriate medication (PIM) of 286 elderly patients with atrial fibrillation who were discharged from the Department of Neurology in outpatients with stroke. Results 192 patients (67.13%) of 286 patients had ≥1 kinds of PIM. There were 161 PIMs (56.29%) judged by Beers criteria, including 60 (20.98%) of inappropriate drugs in elderly patients, 13 (4.55%) of PIMs associated with disease or physiological status, 88 Example (30.77%). There were 31 cases (10.84%) of PIMs not included in the standard of Beers, with repeated medication, drug interactions and frequency of medication errors. Conclusion Elderly patients with atrial fibrillation stroke patients discharged with a wide range of drugs, the potential incidence of inappropriate medication is high, Beers standard to a certain extent, provide reasonable reference for elderly patients.