中国药业2024，Vol.33Issue(14)：8-12,5.DOI:10.3969/j.issn.1006-4931.2024.14.003
"处方精简"干预老年患者多重用药的临床实践
Clinical Practice of Deprescribing Intervention in Polypharmacy for Elderly Patients
摘要
Abstract
Objective To provide a reference for carrying out the deprescribing-related research and clinical practice in China.Methods The current research status and evidence of deprescribing at home and abroad was elaborated,the main reference tools and process of deprescribing were summarized,and a specific case of hospital pharmacists intervening in polypharmacy for elderly patients based on deprescribing was shared.Results Through a series of deprescribing practices,foreign countries had formulated various processes and guidelines that can guide deprescribing in different situations,while the related research started relatively late in China,but the development trend was good.The domestic and foreign research evidence and pharmacists' clinical practice in deprescribing(the patient was given eight basic medications,and he had a good adherence with five of them;the drugs involving deprescribing included glimepiride,amitriptyline,rabeprazole,estazolam)showed that deprescribing intervention for elderly patients in polypharmacy was safe and feasible.Conclusion Deprescribing is a scientific medication management mode based on evidence-based medicine,which can be as an important measure to intervene in polypharmacy for elderly patients.关键词
处方精简/老年患者/多重用药/潜在不适当用药/临床实践Key words
deprescribing/elderly patient/polypharmacy/potentially inappropriate medication/clinical practice分类
医药卫生引用本文复制引用
董燕燕,徐鹏,伍超,车富强,陈震.."处方精简"干预老年患者多重用药的临床实践[J].中国药业,2024,33(14):8-12,5.基金项目
安徽省合肥市第三人民医院科研项目[SYKY201918] （）
安徽中医药大学临床科研项目[2021yfylc11]. （）
