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- 영문명
- Differential Diagnosis of Joint Pain and Appropriate Choice of Pain Killer in the Elderly
- 발행기관
- 대한임상노인의학회
- 저자명
- 정혜진(Hye Jin Jeong) 김상현(Sang Hyon Kim)
- 간행물 정보
- 『대한임상노인의학회지』대한임상노인의학회지 제19권 제1호, 9~15쪽, 전체 7쪽
- 주제분류
- 의약학 > 기타의약학
- 파일형태
- 발행일자
- 2018.06.30
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국문 초록
영문 초록
In Korea, the prevalence of joint disease among chronic diseases of the elderly is increasing as it enters the aging society. Therefore, appropriate differential diagnosis should be made when a patient complains of joint symptoms. Depending on the position of the joint itself or the surrounding structures, it is possible to distinguish the cause of joint symptoms. We can also make a differential diagnosis based on the range and distribution of joints, the number of joints with symptoms, the duration of symptoms, and the pattern of pain. In order to improve joint symptoms, the first agent to use is analgesic, which is very diverse, therefore important to take according to proper prescription. The types of analgesic drugs are classified into non-opioid and opioid analgesics. Among non-opioid analgesics, non-steroidal anti-inflammatory drugs (NSAIDs) are frequently used when the arthralgia is not controlled by acetaminophen. However, a variety of side effects, such as nephrotoxicity and gastrointestinal toxicity of NSAIDs, should be noted for elderly patients. Opioid agents have the advantage of increasing the analgesic effect in proportion to the dose, however, there are several side effects including nausea, vomiting, sedation, respiratory depression, and constipation. Because of the characteristics of the elderly population, it is difficult to predict the appropriate dose, concentration and side effects of the drugs; further there is a lack of guidance on these drugs. When using analgesics for the treatment of arthralgia, we should try to understand the characteristics of the elderly and choose the safest and most effective drugs.
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