CAJ | 학술논문

目的：回顾性评价温州市中心医院门诊老年糖尿病患者潜在不适当用药（potentially inappropriate medication ， PIM ）情况。方法以Beers判断标准（2012版）为依据，对我院2000例≥60岁老年糖尿病患者的处方进行评价，分析老年糖尿病患者PIM情况。结果患者平均年龄76岁，平均用药数量4种，172例（8．60％）存在与药物相关的PIM ，17例（0．85％）存在与疾病状态相关的PIM ，23例（1．15％）存在老年患者需慎用的药物。结论老年糖尿病患者 PIM 发生率高，应引起临床重视，以保证老年糖尿病患者合理用药。
목적：회고성평개온주시중심의원문진노년당뇨병환자잠재불괄당용약（potentially inappropriate medication ， PIM ）정황。방법이Beers판단표준（2012판）위의거，대아원2000례≥60세노년당뇨병환자적처방진행평개，분석노년당뇨병환자PIM정황。결과환자평균년령76세，평균용약수량4충，172례（8．60％）존재여약물상관적PIM ，17례（0．85％）존재여질병상태상관적PIM ，23례（1．15％）존재노년환자수신용적약물。결론노년당뇨병환자 PIM 발생솔고，응인기림상중시，이보증노년당뇨병환자합리용약。
Objective To evaluate potentially inappropriate medication (PIM ) use of elderly diabetic patients in the out-patient department .Methods Beers criteria (2012 Edition) was used as the basis for evaluation of prescription in 2 000 elderly diabetic cases of our hospital (≥60 years old) with analysis of PIM use .Results There were on the average of 4 kinds of drugs per patient (mean age 76 year-old) .172 cases (8 .60% ) of the 2 000 cases were related to PIM dependent on medication use .17 (0 .85% ) cases were related to PIM dependent on disease conditions .23 (1 .15% ) cases were related to PIM with cau-tion in elder adults .Conclusion It was indicated a high prevalence of PIM by elderly diabetic patients .Given the potential se-verity of this problem ,further steps need to be implemented to prevent this occurrence .