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瑞典于默奥市1902年出生人群在过去十年间的药物使用情况。一项纵向人群研究。

Drug consumption during the last decade among persons born in 1902 in Umeå, Sweden. A longitudinal population study.

作者信息

Osterlind P O, Bucht G

机构信息

Department of Geriatric and Long-Term Care Medicine, University of Umeå, Sweden.

出版信息

Drugs Aging. 1991 Nov-Dec;1(6):477-86. doi: 10.2165/00002512-199101060-00007.

Abstract

A population study of drug consumption among people born in 1902 was performed in Umeå, Sweden. The cohort was followed between 79 and 88 years of age. The number of persons in the study varied between 124 and 72. Mean consumption increased from 2.5 to 5.2 drugs per man and from 3.3 to 5.3 per woman. The main correlate of this increase was shown to be the aging individuals' greater morbidity. Cardiovascular preparations, analgesics, psychoactive substances and drugs used to alleviate gastrointestinal symptoms were the most common. At the age of 88 years, 45 to 55% of the individuals used drugs belonging to each one of these drug groups. Furthermore, during the 9 years of study there was a substantial increase in use of these drug groups except for the cardiovascular agents, of which the consumption was constant. The proportion of subjects on regular drugs increased from 82% at 79 years to 95% at 88 years of age. Benzodiazepines were, at 88 years, used by almost 40% of the population; at the same age, 43% were using laxatives and 37% diuretics. Paracetamol (acetaminophen) was the most common analgesic used. Total consumption of drugs prescribed for hypertension decreased considerably, from 23 to 10%, despite an increase in the use of loop diuretics and vasodilating agents.

摘要

瑞典于默奥市对1902年出生人群的药物消费情况进行了一项群体研究。该队列人群的随访年龄在79岁至88岁之间。研究对象人数在124人至72人之间变化。男性的平均药物消费量从每人2.5种增加到5.2种,女性从每人3.3种增加到5.3种。研究表明,这种增加的主要相关因素是老年人发病率更高。心血管制剂、镇痛药、精神活性物质以及用于缓解胃肠道症状的药物最为常见。在88岁时,45%至55%的人使用这些药物类别中的每一类药物。此外,在9年的研究期间,除心血管药物的消费量保持稳定外,这些药物类别的使用量大幅增加。定期服药的受试者比例从79岁时的82%增至88岁时的95%。在88岁时,近40%的人群使用苯二氮䓬类药物;同一年龄段,43%的人使用泻药,37%的人使用利尿剂。对乙酰氨基酚是最常用的镇痛药。尽管襻利尿剂和血管扩张剂的使用有所增加,但用于高血压的处方药总消费量大幅下降,从23%降至10%。

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