马来西亚私立医院的抗高血压处方做法:一个前性,非干预性,观察性研究
W K Ng1, A Z Philip2, T T Lim3
1Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
The Medical journal of Malaysia
|June 4, 2023
概括
在马来西亚,49%的高血压患者实现了血压控制. 医生更喜欢单片药物组合 (SPC),以更好地管理高血压和患者遵守.
科学领域:
- 药理学 药理学是指药理学的学科.
- 心血管医学 心血管医学
- 公共卫生 公共卫生
背景情况:
- 高血压管理往往涉及单一治疗或组合抗高血压药物.
- 实现最佳血压 (BP) 控制对于预防心血管并发症至关重要.
研究的目的:
- 评估马来西亚患者的血压控制水平,使用不同的抗高血压治疗方案.
- 为了比较单疗法,免费药物组合和单片药物组合 (SPC) 的高血压管理.
主要方法:
- 一项前性,观察性多中心研究,涉及182名马来西亚患者.
- 通过医疗记录和患者采访收集的数据超过2-3个月.
- 分析包括血压控制率,治疗方案和使用的抗高血压药物的数量.
主要成果:
- 49% (89/182) 的患者实现了目标血压控制.
- 大多数获得控制的患者 (62/89) 是单片药 (单疗法或SPC) 方案.
- 大多数受控患者 (63/89) 需要超过两种抗高血压药物.
结论:
- SPC和免费药物组合都有效地降低了BP.
- 医生更喜欢SPC,因为它可以提高血压控制和患者的治疗遵从性.
- 在马来西亚的私人医疗中心,SPC可能为高血压的管理提供优势.
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
34
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
34
Hypertension IV: Drug Therapy and Lifestyle Modifications
19
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
19
Hypertension V: Nursing Management
13
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
13
Errors occurring during blood pressure monitoring
791
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
791
Assessment of blood pressure in brachial artery(one-step method)
650
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
650
Assessment of blood pressure in brachial artery(two-step method)
788
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
788


