老年人用药的特点
<P style="LINE-HEIGHT: 150%"><FONT face=宋体><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">老年人因各脏器的组织结构和生理功能都有不同程度的退行性改变,因而影响了药物在体内的吸收、分布、代谢和排泄过程,而老年人又多体弱多病,老人生病的种类很多,吃药的品种及数量也多,引起药物不良反应和药物中毒的可能性也增多。因此,在给老年人用药时,必须特别慎重。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥"><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></FONT></P>
<P style="LINE-HEIGHT: 150%"><FONT face=宋体><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">(</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">1</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">)选用最熟悉的药物品种:由于制药工业的飞速发展,新药大量投放市场,药物品种多、更新快,病人,特别是老年人,很难适应。对新药的应用,或表现为急于要求应用,或表现为不敢应用。同时,医生也不一定完全了解所有新药的药理作用,做到熟练掌握。老年人记忆减退,反应迟钝,服药如无家属或他人协助,容易错服、误服,或重复用药,造成不必要的麻烦。故老年人用药宜选用病人和医生最熟悉的药物品种,以利安全。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥"><o:p></o:p></SPAN></FONT></P>
<P style="LINE-HEIGHT: 150%"><FONT face=宋体><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">(</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">2</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">)尽量减少药物的种类:两种药物或多种药物同时使用,其综合作用可能对病人产生疗效,也可能产生不良反应,影响治疗,甚至对病人产生生命危险。目前认为,药物不良反应的发生率随用药种类的增加而增加。据报道,同时接受</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">5</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">种以下药物的病人,其药物反应发生率为</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">18.6%</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">,同时服用</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">6</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">种~</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">25</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">种药物时,其发生率为</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">81.4</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">%,故用前时应尽量减少药物种类,以减少药物不良反应的发生率。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥"><o:p></o:p></SPAN></FONT></P>
<P style="LINE-HEIGHT: 150%"><FONT face=宋体><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">(</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">3</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">)使用最小的药物剂量:许多药物的吸收、分布、代谢、排泄等,随年龄增大而改变。进入老年期后,身体的主要器官,其解剖结构及机能状态均发生了不同程度的减退。主要表现为细胞数减少,细胞内水分减少、组织局部血流灌注量减少、总蛋白减少等</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">“</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">四少</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">”</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">现象。肝肾功能、免疫功能均较成年人减低</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">1/3</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">~</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">1/2</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">,致使血液内药物浓度较一般成年人为高,药物半衰期亦较一般人明显延长,故老年人用药的剂量较成年人为少,适宜使用最少的药物剂量,一般为成人用量的</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">1/3</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">~</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥">1/2</SPAN><SPAN style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; mso-ascii-font-family: ˎ̥; mso-hansi-font-family: ˎ̥">。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; LINE-HEIGHT: 150%; FONT-FAMILY: ˎ̥"><o:p></o:p></SPAN></FONT></P>
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