— 健康促進與維護 · HARD · MCQ —
護理師正在向老年人提供預防跌倒的教育。下列何種藥物類別最可能增加跌倒風險？
A nurse is providing education on fall prevention for older adults. Which medication category is most likely to increase fall risk?
- AProton pump inhibitors (PPIs)質子幫浦抑制劑 (PPIs)
- BAntihistamines (non-sedating)抗組織胺 (非鎮靜型)
- CStatins他汀類藥物 (Statins)
- DBenzodiazepines✓ 正解苯二氮平類
— Explanation · 中文詳解 —
苯二氮平類藥物（Benzodiazepines），如抗焦慮藥和安眠藥，常引起鎮靜、嗜睡、協調能力下降，顯著增加老年人跌倒風險。Statin 類降血脂藥、PPIs 和非鎮靜型抗組織胺的跌倒風險相對較低。
Benzodiazepines significantly increase fall risk in older adults due to their sedative effects and ability to impair coordination and balance. While other medications like statins or non-sedating antihistamines may have minor associations, benzodiazepines pose the highest immediate danger for falls among the options provided.
✦ 台美臨床差異
美國老年醫學會（AGS）強調對老年人多重用藥進行審查，特別是精神活性藥物；台灣的藥師用藥安全諮詢亦包含此類藥物的風險評估。