三级医疗中心心力衰竭患者用药-药物使用研究

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摘要

背景:心力衰竭(HF)患者需要多种药物治疗。世界范围内使用了许多药物,但东印度对其使用模式的了解有限。目的:了解西孟加拉邦加尔各答尼尔拉坦锡尔卡医学院和医院成年心衰患者的用药情况。材料和方法:这是一项在NRS医学院和医院药理学和心内科进行的观察性横断面研究。在满足纳入和排除标准后,共纳入100例成人患者,并记录其治疗细节。结果:本研究共处方670种药物,平均每张处方6.7种药物。患者年龄以41 ~ 60岁居多,男性居多(61%)。仿制药占比显著(86.87%),100%的处方有充分的标签和配药。每位患者的平均会诊时间为10.5分钟。常用药物包括利尿剂、血管紧张素转换酶抑制剂、-受体阻滞剂、矿物皮质激素受体拮抗剂和血管紧张素受体阻滞剂。结论:本研究遵循了标准的治疗方案指南,合理用药。
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Drugs used in patients with heart failure in a tertiary care center – A drug utilization study
Background: Heart failure (HF) patients need multiple drug therapy. There are numerous drugs used worldwide but knowledge regarding pattern of their use is limited from Eastern India. Aims and Objectives: Objective was to assess utilization pattern of drug among the adult patients with HF in Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal. Materials and Methods: This was an observational and cross-sectional study conducted in Department of Pharmacology and Cardiology at NRS Medical College and Hospital. A total 100 adult patients were included for this study after fulfilling inclusion and exclusion criteria and their treatment details were recorded. Results: A total of 670 drugs were prescribed in this study (average of 6.7 drugs per prescription). Most of the patients were between 41 and 60 years of age and most of them were male (61%). Significant percentage of prescriptions were generic (86.87%) and 100% were adequately labeled and dispensed. Average consultation time for each patient was 10.5 min. Commonly used drugs included diuretics, angiotensin converting enzyme inhibitors, beta-blockers, mineral-corticoids receptor antagonists, and angiotensin receptor blockers. Conclusion: This study showed that standard treatment protocol guidelines were followed and rational use of drug was seen.
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