老年患者的:临床综述
Timothy G Berger1, Melissa Shive, G Michael Harper
1Department of Dermatology, University of California, San Francisco.
JAMA
|December 12, 2013
概括
老年人的是常见的,也是具有挑战性的. 主要原因包括皮肤干燥 ( Xerosis),药物反应和神经病变,需要仔细评估才能有效管理.
科学领域:
- 老年医学 老年医学
- 皮肤病学 皮肤病学
- 临床治疗学 临床治疗学
背景情况:
- () 显著影响老年人的生活质量,通常会引起类似慢性疼痛的痛苦.
- 对于有效的治疗方法的证据有限,这给医疗保健提供者带来了管理挑战.
研究的目的:
- 审查有关老年人的原因,诊断和治疗的现有证据.
- 为管理老年患者的全科医生提供一种实用,基于证据的方法.
主要方法:
- 在PubMed,EMBASE,Cochrane系统审查数据库和医疗保健研究和质量系统审查数据库 (截至2013年8月) 的综合文献搜索.
- 从检索的文章中对引用的系统评估,以确保彻底的证据审查.
主要成果:
- 湿疹 (皮肤干燥) 影响超过50%的老年患者,需要初步治疗.
- 像通道阻塞剂和甲酸等药物被确定为药物诱导的疹的常见原因.
- 神经病性,经常被忽视,可以表现为局部或普遍,特别是在糖尿病患者. 特定的皮肤病,如和牛性皮虫,在老年人中更为普遍.
结论:
- 对老年患者进行全面的皮肤,全身和神经的综合性评估至关重要.
- 一个简单的诊断和治疗算法可以帮助管理老年人的.
- ,药物不良反应和潜在的神经病变是评估的关键因素.
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