van Schrojenstein Lantman-de Valk H M, Kessels A G, Haveman M J, Maaskant M A, Urlings H F, van den Akker M
Stichting Pepijnklinieken, Echt.
Ned Tijdschr Geneeskd. 1995 May 27;139(21):1083-8.
Description of use of medication by people with mental handicaps in relation to age, level of mental handicap and living facility.
Cross-sectional study.
Institutions and group homes for people with mental handicaps in North Brabant and Limburg, the Netherlands.
Of a patient sample (n = 1265), stratified according to age and living facility (i.e. institution or group home) data were collected by means of questionnaires to be completed by the general practitioners. For 101 persons data about level of mental handicap were lacking.
57% of the patients used one or more drugs. The numbers of drugs used were significantly related to (increased) age and level of mental handicap. Older patients more often used antipsychotics, laxatives and cardiovascular medication, younger ones more often used anticonvulsants. More severely handicapped persons used antipsychotics, anticonvulsants, laxatives, antacids, psychoactive medication and gastrointestinal medication more often. There was no relationship between amount of medication and living facility.
Many mentally handicapped use medication. Since epilepsy, psychiatric and behavioural diseases and gastrointestinal problems are frequent, and because the patients offer little spontaneous information, alertness with respect to drug interaction and side effects is indicated.
描述智力障碍者用药情况与年龄、智力障碍程度及生活设施的关系。
横断面研究。
荷兰北布拉班特省和林堡省的智力障碍者机构及集体之家。
在一个按年龄和生活设施（即机构或集体之家）分层的患者样本（n = 1265）中，通过问卷收集数据，由全科医生填写。101人缺乏智力障碍程度的数据。
57%的患者使用一种或多种药物。用药数量与（增长的）年龄和智力障碍程度显著相关。老年患者更常使用抗精神病药、泻药和心血管药物，年轻患者更常使用抗惊厥药。智力障碍更严重的人更常使用抗精神病药、抗惊厥药、泻药、抗酸剂、精神活性药物和胃肠药物。用药量与生活设施之间没有关系。
许多智力障碍者用药。由于癫痫、精神和行为疾病以及胃肠问题很常见，且患者很少主动提供信息，因此需要警惕药物相互作用和副作用。
