关于中风患者风险因素和相关药物相关问题的研究
Tulsi Bhusal1, Durga Bista2, Rojeena Koju Shrestha1
1Department of Pharmacy, School of Science, Kathmandu University, Dhulikhel, Nepal.
BMC neurology
|March 21, 2025
概括
多药学显著预测中风患者的严重药物相关问题 (DRP),需要谨慎的药物管理. 潜在药物相互作用 (pDDI) 的高率强调了临床药剂师需要减轻风险.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,中风是导致死亡和残疾的主要原因.
- 与药物相关的问题 (DRPs) 可以发生在药物管理的任何阶段.
- 这项研究研究了中风患者的风险因素和DRP.
研究的目的:
- 在中风患者中评估与DRP相关的风险因素.
- 在这个人群中确定DRP的类型和患病率.
- 为了确定高严重性DRPs的预测因素.
主要方法:
- 在安纳普尔纳医院对111名中风患者进行的横截面研究.
- 通过医疗记录,Cardex和护理笔记收集的数据.
- 使用Hepler-Strand系统分类DRP;使用Medscape软件评估潜在的药物相互作用 (pDDIs). 统计分析包括千平方和物流回归.
主要成果:
- 91.9%的患者经历了DRP,pDDI是最常见的 (91.09%).
- 高血压,糖尿病和高脂血症是普遍存在的并发症.
- 多药性 (使用>10种药物) 是高严重性pDDI的显著预测因素.
结论:
- 多药性是中风患者高严重性pDDI的关键预测因素.
- 患有pDDI的高发病率凸显了临床药剂师的关键作用.
- 在中风患者中减少DRPs的干预措施需要进一步调查.
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