同时使用阿育吠陀和传统抗糖尿病配方的模式-经验在三级护理阿育吠陀医院,印度。

Ayu Pub Date : 2020-04-01 Epub Date: 2021-10-23 DOI:10.4103/ayu.AYU_81_20
R Galib, Poonam Dang, Vijay Kumar, Rakesh Rana, Pramod Yadav, P K Prajapati
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引用次数: 1

摘要

背景:大多数人口依靠传统药物解决许多与健康有关的问题。特别是患有慢性疾病的人,如糖尿病(DM),更有可能同时使用草药。许多这样的使用者认为传统药物是天然的,因此是安全的,但这是一种过于简单化的危险做法。一些草药可能有副作用,包括与处方药的相互作用。关于抗糖尿病药物与阿育吠陀药物同时使用的信息在印度是有限的。目的和目的:通过一份有效的问卷调查,调查在印度新德里一家三级护理教学医院门诊就诊的糖尿病患者同时使用阿育吠陀和传统抗糖尿病药物的模式。材料和方法:这是一份基于问卷的调查,经机构伦理委员会批准后进行,随后在CTRI注册。制定了一份评估同时使用模式的问卷;在40名患者中进行了一项试点研究,对内容进行了验证和预测试,并进一步完善并用于调查。对数据进行分析,以评估阿育吠陀和常规降糖药同时使用的模式。结果:95.9%的糖尿病患者在常规降糖药的同时服用草药矿物制剂。虽然45.3%的糖尿病患者在合格的AYUSH医生的监督下使用阿育吠陀干预措施,但仍然参与非处方(OTC)或当地供应商的药物采购。在大多数情况下,阿育吠陀配方的使用没有与他们的医生沟通。结论:绝大多数(95.9%)糖尿病患者在服用常规降糖药的同时使用中药制剂,其中约44%的患者同时使用中药制剂。因此,提高对药物使用良好做法的认识似乎是必不可少的。
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Patterns of concomitant use of Ayurveda and conventional anti-diabetic formulations - Experiences at a tertiary care Ayurveda hospital, India.

Background: Majority of the population relies on traditional medicines for many of their health related problems. Particularly individuals with chronic illness like diabetes mellitus (DM) are more likely to simultaneously use herbal medicines. Many of such users believe that traditional medicines are natural and therefore safe, but this is a dangerous over simplification. Some herbal medicines may be associated with adverse effects, which include interactions with prescribed drugs. Information on such concomitant use of anti-diabetic drugs along with Ayurveda medicines is limited in Indian scenario.

Aims and objectives: To survey the patterns of concomitant use of Ayurveda and conventional anti-diabetic drugs by diabetic patients attending an out-patient department of a tertiary care teaching hospital in New Delhi, India through a validated questionnaire.

Materials and methods: This is a questionnaire-based survey, carried out after the approval of the Institutional Ethics Committee, subsequently registered at CTRI. A questionnaire to assess the pattern of concomitant use was developed; content was validated and pre-tested by a pilot study in 40 patients, further refined and used in the survey. The data was analyzed to evaluate the patterns of concomitant use of Ayurvedic and conventional anti-diabetic drugs.

Results: About 95.9% of diabetic patients were taking herbo-mineral formulations concomitantly with conventional anti-diabetic drugs. Although 45.3% of diabetics were using Ayurveda interventions under the supervision of qualified AYUSH physicians, remaining involved in procuring the drugs over the counter (OTC) or from the local vendors. In majority of these instances, the use of Ayurveda formulations was not communicated with their physicians.

Conclusion: The observations reveal that a majority of the diabetics (95.9%) were taking one or the other form of herbal preparations along with their conventional anti-diabetic drugs and about 44% among them were using these concomitantly. Thus, generating awareness on good practices of drug use seems to be essential.

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