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肾内科用药，哪些药物老年人需慎用

2018-04-30 佚名 药物不良反应杂志

中国老年人潜在不适当用药判断标准肾损伤老年用药
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最新版《中国老年人潜在不适当用药判断标准》于2018年2月发布于《药物不良反应杂志》。该标准共包括两部分内容：第一部分为老年人PIM判断标准，包含13个大类72种/类药物，其中28种/类为高风险药物（需避免使用），44种/类为低风险药物（需慎用）；24种/类为A级警示药物，48种/类为B级警示药物。第二部分为老年人疾病状态下PIM标准，包含27种疾病状态下44种/类药物，其中35种/类药物为A级警

潜在不适当用药（PIM）系指使用此类药物的潜在不良风险可能超过预期获益，是一类高风险药物。我国已经进入老年社会，老年人多病、多科就诊、多重用药问题普遍，但我国大陆地区尚未建立老年人PIM判断标准。由于我国大陆药品市场供应情况及临床诊疗与其他国家和地区存在差异，亟需制定符合我国大陆地区实际情况的老年PIM判断标准。

最新版《中国老年人潜在不适当用药判断标准》于2018年2月发布于《药物不良反应杂志》。该标准共包括两部分内容：第一部分为老年人PIM判断标准，包含13个大类72种/类药物，其中28种/类为高风险药物（需避免使用），44种/类为低风险药物（需慎用）；24种/类为A级警示药物，48种/类为B级警示药物。第二部分为老年人疾病状态下PIM标准，包含27种疾病状态下44种/类药物，其中35种/类药物为A级警示药物（用药频度≥3000），9种/类药物为B级警示药物（用药频度＜3000）。

其中对肾脏和泌尿系统有损伤的药物如下：

中国老年人潜在不适当用药判断标准



中国老年人疾病状态下潜在不适当用药判断标准


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    2018-05-07 1e145228m78(暂无匿称)

    学习了.谢谢作者分享!

    0

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    2018-05-02 jiangfeng5072

    #肾内科#

    0

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    2018-04-30 happsf

    学习

    0

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    2018-04-30 天地飞扬

    了解一下.谢谢分享!

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=312949, encodeId=832f312949c0, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Mon May 07 22:06:17 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1556453, encodeId=d360155645355, content=<a href='/topic/show?id=1d96824647a' target=_blank style='color:#2F92EE;'>#肾内科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82464, encryptionId=1d96824647a, topicName=肾内科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=072014776591, createdName=jiangfeng5072, createdTime=Wed May 02 09:57:00 CST 2018, time=2018-05-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=310779, encodeId=a98b310e79f4, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ba101609906, createdName=happsf, createdTime=Mon Apr 30 22:04:01 CST 2018, time=2018-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=310770, encodeId=0512310e70a6, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Mon Apr 30 21:32:26 CST 2018, time=2018-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=310765, encodeId=19c0310e65c9, content=学习了.涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Mon Apr 30 20:41:36 CST 2018, time=2018-04-30, status=1, ipAttribution=)]
    2018-04-30 王秀

    学习了.涨知识了!

    0

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