首页 > 文献资料
-
老年用药不良反应实例分析
临床工作中,老年人ADR发生率高,产生的危害大,尤应加以重视.为了解老年人ADR发生和分布情况,保证用药安全,现将结合我院2008年1月至2011年1月上报的300份老年人不良反应ADR( Adverse Drug Reaction)报告进行回顾性分析.
-
Objective: To evaluate the therapeutic effect of Chinese patent drug Shu Feng Huo Luo Pian (疏风活络片 Pill for Dispelling Wind and Activating Collaterals) for the treatment of osseous arthritis. Method: 50 cases of osseous arthritis were divided randomly into two groups, the Shu Feng Huo Luo Pian group (the experimental group), including 30 cases (aged 63.5±4 years), treated with 2 such pills, po, bid; and the control group, including 19 cases (aged 63±5 years), treated with Sulindac 0.2g, po, bid. The two groups were all supplemented by medication of calcium Caltrate D 0.6g, po, qd. The above-mentioned medications were administered for 2 courses, 2 weeks constituting a course. Result: The total effective rate of the experimental group evaluated by the doctors was 83.3%, and that evaluated by the patients was 90%, with mild side effects. Conclusion: Shu Feng Huo Luo Pian is an effective Chinese patent drug for treating osseous arthritis, with less and mild side effects. Osseous arthritis is characterized mainly by chronic arthralgia, ankylosis, and arthroncus accompanied with dysfunction of the joint. It affects predominantly the movable joints of the human body, such as the joint of the hip, knee, ankle, elbow, and finger. It is a commonly seen disease, which mostly affects the life activities of the aged people. Its morbidity rises along with age. X-ray mass survey has shown that the morbidity of this disease among people aged 15-24 years is about 10%, while that among people aged 55 years is about 80%1. As China is entering an aged society, due attention should be paid to this kind of disease. This article offers a clinical observation on the therapeutic effect of Shu Feng Huo Luo Pian (疏风活络片 Pill for Dispelling Wind and Activating Collaterals) for 50 cases of osseous arthritis as reported below.
-
Thirty cases of vertebral-artery-type cervical spondylopathy were treated by Dr. Zhang Tao's technique. The cure rate was 50%, and the total effective rate was 100%.The vertebral-artery-type cervical spondylopathy is a commonly-seen condition in the aged people, often accompanied with arteriosclerosis. Based on the techniques performed by Dr. Du Ziming (the late famous TCM physician of our hospital), Dr. Zhang Tao has developed a set of therapeutic techniques for this condition. From June 1997 to April 1998, the author had treated 30 cases of the disease, with satisfactory results reported in the following.
关键词: Aged People cure rate -
Primary osteoporosis, a commonly encountered metabolic bone disease in the postmenopausal women and the aged people, can be classified by modern medicine into postmenopausal osteoporosis (Type I) and senile osteoporosis (Type II). The disease seriously affects health and quality of life of the people as it often cause ostealgia, fracture and the secondary symptoms or diseases. Presently, the pharmacotherapy (including both Chinese herbal drugs and western drugs) remains the first among all other therapeutic methods which are mainly adopted in treatment of the disease at home and abroad. Studies related have been curried out quite early and systematically, and considerable progress has been made, but limit of the pharmacotherapy has also been found. Certain non-drug treatments (such as dietetic therapy, physical exercise, acupuncture and moxibustion, and qigong, especially acupuncture and moxibustion therapy, although with a late start, have been proved effective with satisfactory results. The following is a summary of all the contributions concerned.
-
老年人急性肾损伤特点
急性肾损伤(acute kidney injury,AKI)是一种发病率逐年增加,且高死亡率的重症疾病,而老年人是AKI的主要发病人群.基于国际疾病分类第九版临床修订本(ICD-9-CN)标准,美国1998年至2002年全国住院患者的数据中,急性肾衰竭的发病率:1998年为610人/(百万人口·年),2002年上升到2880人/(百万人口·年),平均年年龄72.1岁[1].
-
城镇老年人对健康服务的需求、利用状况及护理对策
随着社会经济的发展和人口寿命的延长,老龄化和老年人的健康问题受到普遍的关注;同时由于我国家庭规模的缩小、家庭养老功能的弱化以及社会养老机制尚未健全,探讨建立有效的社区护理服务将对促进老年人身心健康起到积极作用.
-
老年人抗中性粒细胞胞浆抗体相关小血管炎肾损害
原发性小血管炎是指一组病因不明、以血管壁炎症和纤维素样坏死为病理特征的系统性疾病,部分与抗中性粒细胞胞浆抗体(ANCA)密切相关,称之为ANCA相关小血管炎(AAV),包括韦格纳肉芽肿病(WG)、显微镜下型多血管炎(MPA)、变应性肉芽肿性血管炎和肾脏局限型血管炎.
-
老年人慢性肾脏病的流行病学特点
新世纪以来,国际肾脏病学会提高肾脏病全球预后工作组(K/DIGO)提出了简明的慢性肾脏病(CKD)的定义及分期标准,从而使在人群中开展大规模的肾脏病流行病学研究具备了统一分析平台.流行病学资料显示,CKD已呈流行趋势.我国几宗大规模流行病学调查显示,20岁以上成年人CKD的患病率在10%左右,与西方国家的患病率相似.
-
老年人的生理特点与合理用药
由于老年人身体机能的下降,按成年人剂量服用药物不仅影响治疗效果,还能增大产生药物不良反应的风险.因此,正确掌握老年人的用药规律尤为重要.
-
390例中老年查体血糖检测观察
血糖(GLU)检测是中老年查体检测的一项重要内容.GLu主要是指血液巾的葡萄糖.食物中的碳水化合物经消化后主要以葡萄糖的形式在小肠被吸收.经门静脉进入肝脏,肝是调节糖代谢的重要器官[1].在正常情况下.体内糖的分解代谢与合成代谢保持动态平衡,GLU的浓度也相对稳定,检测GLU对于判断糖代谢的情况及其与糖代谢紊乱相关疾病的诊断有重要价值[2].
-
细胞毒药物加清热通痹汤治疗老年类风湿性关节炎20例
老年类风湿性关节炎(RA)严重影响老年人生活质量.通常用非甾体类消炎药治疗,本文用细胞毒药物加清热通痹汤治疗老年RA 20例,效果满意,报道如下:
-
老年人保健中的影响因素分析及护理
1999年10月我国进入老年型社会,也就是说,我国60岁以上的老年人口已达到总人口的10%[1].在今后几十年中,我国老年人口占总人口的比例还将呈上升趋势,故对老年人的护理需求应有足够的估计和重视[2].老年人是社会中的弱势群体,有其生理与心理方面的特殊性,从而导致了其在护理方面的特殊要求.随着社会的发展,老年保健的护理工作也将不断发展,对老年人的护理也将更趋完善.
-
影响老年人口腔保健的相关因素研究
随着社会经济与文化的发展,人们越来越重视对口腔疾病的预防保健.口腔护理模式也随着现代护理学发展趋势作出相应调整,护理工作的场所逐渐由医院扩大到家庭、社区.目前,我国已进入了老龄型社会,因此,对老年人口腔疾病的防治和护理问题越来越被人们所重视,因它对提高老年人生活质量、保持身体健康有重要意义.因此,选择了本社区60岁以上老年人380人,对口腔保健知识的掌握程度及目前健康状况和护理需求,采用问卷访问形式作调查,现报告如下.
-
关注空巢老人身心健康建立多层面关怀体系
我国已经步人老龄化社会,并且60岁以上老年人口每年以3.2%的速度递增.根据第五次全国人口普查,我国老年人口占总数的1 0%,预计到2050年将达到4亿,占人口总数的23.5%[1].加之家庭规模缩小和家庭结构的简单化,空巢老年家庭增多,给我们这个"未富先老"的社会带来诸多负担,因而研究空巢老年家庭的健康问题及解决办法是刻不容缓的任务.
-
短波紫外线照射联合去甲万古霉素治疗老年难治性压疮效果观察
压疮是由于局部软组织持续受压,导致组织、细胞缺血、缺氧坏死后引起的皮肤缺损,亦是临床常见的并发症之一[1-3].
-
中老年心血管病三级预防的研究进展
1 中老年心血管病干预的模式中老年心血管病一级和二级预防的干预措施包括:①治疗性生活方式改变(Therapeutic Life Style Changes,TLSC);②他汀类降胆固醇药物;③血管紧张素转换酶抑制剂;④β阻断剂;⑤抗栓防栓(抗血小板和抗凝血酶).