Gontijo Mônica de Fátima, Ribeiro Andréia Queiroz, Klein Carlos Henrique, Rozenfeld Suely, Acurcio Francisco de Assis
Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2012 Jul;28(7):1337-46. doi: 10.1590/s0102-311x2012000700012.
Concern over the harmful effects of drug use by the elderly has motivated studies aimed at identifying problems in such utilization. This was a household survey with retirees aged > 60 years living in Belo Horizonte, Minas Gerais State, Brazil, in 2003, who reported having a diagnosis of diabetes and/or hypertension. Quality of anti-hypertensive and anti-diabetic medication was measured by redundancy, combinations of drugs, and inappropriate drugs. Among 283 elderly patients (89%) with self-reported hypertension and use of anti-hypertensive pharmacotherapy, 68.2% were using diuretics and 37.8% ACE inhibitors. Among the 22 (64.7%) self-reported diabetic patients under pharmacotherapy, 45.5% were using insulin and 77.3% oral anti-diabetic agents. Among the 89 self-reported diabetic and hypertensive patients, 80 (90%) were using anti-hypertensive drugs and 51 (57.3%) anti-diabetic agents. The study revealed the use of dose combinations, redundant use, and inappropriate medicines, thus indicating the need to monitor treatment protocols and improve healthcare for elderly patients.
对老年人药物使用有害影响的担忧促使人们开展研究，旨在确定此类用药中的问题。这是一项针对2003年居住在巴西米纳斯吉拉斯州贝洛奥里藏特市、年龄大于60岁且报告患有糖尿病和/或高血压的退休人员的家庭调查。通过药物冗余、药物组合以及不适当药物来衡量抗高血压和抗糖尿病药物的质量。在283名自我报告患有高血压并接受抗高血压药物治疗的老年患者（89%）中，68.2%使用利尿剂，37.8%使用血管紧张素转换酶抑制剂。在22名接受药物治疗的自我报告糖尿病患者（64.7%）中，45.5%使用胰岛素，77.3%使用口服抗糖尿病药物。在89名自我报告患有糖尿病和高血压的患者中，80名（90%）使用抗高血压药物，51名（57.3%）使用抗糖尿病药物。该研究揭示了剂量组合、重复用药和不适当药物的使用情况，从而表明有必要监测治疗方案并改善老年患者的医疗保健。
