Drug Ther Bull. 1999 Aug;37(8):62-4. doi: 10.1136/dtb.1999.37862.
Many patients admitted to hospital for an operation will be taking medicines which affect, or are affected by, the drugs used during surgery or by the surgical procedure itself. There are few published data on which to base policy in this situation and doctors generally rely on their own experience. In a series of articles, we will review these issues. In this, our first article, we consider how the events surrounding surgery might affect prescribing and give examples of drugs that need to be stopped or continued. Future articles will cover peri-operative drug management in patients: with diabetes mellitus or taking corticosteroids; taking hormone replacement therapy or oral contraceptives; taking drugs for cardiovascular disease.
许多因手术入院的患者正在服用会影响手术期间所用药物或受其影响,或受手术本身影响的药物。在这种情况下,可供制定政策参考的已发表数据很少,医生通常依靠自身经验。在一系列文章中,我们将对这些问题进行综述。在这第一篇文章中,我们将探讨手术相关事件可能如何影响处方,并举例说明哪些药物需要停用或继续使用。后续文章将涵盖糖尿病患者或服用皮质类固醇患者、接受激素替代疗法或口服避孕药患者、服用心血管疾病药物患者的围手术期药物管理。