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目的:了解老年慢性病患者用药情况、多重用药现状及其危害。方法:对2015年7~9月真如社区全科门诊老年高血压合并糖尿病患者进行流行病调查,问卷内容包括患者基本情况、患病情况、目前用药情况、不良反应发生情况。结果:调查收到有效问卷6 002份,其中5 877例(97.92%)患者长期依靠药物治疗,3 611例(60.16%)患者服用药品及保健品≥5种,被调查者中不适当用药发生率为16.01%,不良反应发生率为19.01%,随着用药品种的增加,不适当用药和不良反应的发生率均明显提高(P<0.01)。结论:社区老年慢性病患者多重用药现象普遍,导致不适当用药和不良反应增加,有必要在社区开展药物重整工作。
OBJECTIVE: To understand the use of drugs in elderly patients with chronic diseases, the status of multi-drug use and its harm. Methods: To investigate the epidemiology of elderly hypertensive patients complicated with diabetes from July to September in 2015. The questionnaire included the basic information of the patients, the prevalence, the current medication situation and the incidence of adverse reactions. Results: Six hundred and two valid questionnaires were received, of which 5877 patients (97.92%) were treated by drugs for a long time, 3 611 (60.16%) patients took more than five kinds of medicines and health products, and the inappropriate use of drugs The rate of adverse reactions was 16.01%, and the incidence of adverse reactions was 19.01%. With the increase of medication varieties, the incidence of inappropriate medication and adverse reactions were significantly increased (P <0.01). CONCLUSIONS: Multiple drug use among elderly patients with chronic diseases in the community is common, resulting in inappropriate medication and adverse reactions. It is necessary to carry out drug reorganization in the community.