牙科药物治疗:2021年牙科药物使用分析

I. Mazur, Anastasia Levchenko, M. Stadnyk
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引用次数: 1

摘要

背景。乌克兰的医药市场每年都有新的现代药物补充,其使用的合理性仍然是世界各地医生面临的一个紧迫问题。大量药物在医药市场上的引入和牙医在实践中的使用,不仅与向医疗专业人员提供有关药物临床疗效的及时和完整的信息有关,而且与使用特点、安全性和可能的副作用有关。该研究的目的是对乌克兰牙医在2021年开具的药品和口腔护理产品处方的结果进行监测和比较分析。材料和方法。在公共组织“乌克兰牙医协会”、一组公司“MedExpert”和乌克兰评级机构的主持下,对牙医进行了调查并分析了研究结果。这项研究招募了4026名受访者——来自乌克兰所有地区的牙医。女性占70.25%,男性占29.75%。根据人口分布,最多的受访者来自基辅市(1003人)、利沃夫(577人)、基辅(482人)地区,最少的受访者来自基罗沃拉德(16人)和卢甘斯克(14人)地区。该研究分阶段进行,通过填写由非政府组织“乌克兰牙医协会”在科学和实践活动期间准备的调查问卷,即牙医专业学校会议,于2021年上半年在线进行。本研究的主要目的是确定药品和口腔护理产品的主要用途。受访者是不同专业的牙医,主要是治疗和外科。结果。研究表明,牙医在日常执业中广泛使用药物;相当一部分牙医定期开具抗菌药物,即环丙沙星联合替硝唑(48.36%)、青霉素(40.86%)、甲硝唑(34.53%)。为了减轻疼痛,很大比例的牙医使用尼美舒利组中的非甾体类抗炎药(85.89%)。几乎所有的牙医在日常执业中都使用局部治疗感染和炎症过程的工具:氯己定(82.51%),美吉牙(67.51%),局部抗炎药(holisal)(47.54%)。分析了口腔护理用品的用途——牙膏、漱口水、牙刷的种类。结论。对药物和口腔护理产品处方的分析结果证明了牙医在日常实践中广泛使用它们,向牙医通报了现代药物和口腔护理产品,其适应症和禁忌症的数据,以及可能影响实现高效治疗结果的药物相互作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pharmacotherapy in dentistry: analysis of the use of drugs in dentistry in 2021
Background. Every year the pharmaceutical market of Ukraine is replenished with new modern medicines, and the rationality of their use remains an urgent problem for doctors around the world. The introduction of a large number of drugs on the pharmaceutical market and the use in the practice of dentists is relevant not only in providing medical professionals with timely and complete information on the clinical efficacy of the drug, but also the features of use, safety, and possible side effects. The purpose of the study was a monitoring, comparative analysis of the results of prescriptions of pharmaceuticals and oral care products by dentists of Ukraine in 2021. Materials and methods. A survey of dentists and analysis of the results of the study was conducted under the auspices of the public organization “Association of Dentists of Ukraine”, a group of companies “MedExpert”, and the Ukrainian rating agency. The study enrolled 4026 respondents — dentists from all regions of Ukraine. There were 70.25 % of women and 29.75 % of men among the respondents. According to the demographic distribution, the largest number of respondents was from the city of Kyiv (1003 people), Lviv (577 people), Kyiv (482 people) regions, the smallest — from Kirovohrad (16 people) and Luhansk (14 people) regions. The study was phased, by filling out a questionnaire prepared by the NGO “Association of Dentists of Ukraine” during scientific and practical events, conferences of professional schools for dentists, online in the first half of 2021. The subject of the study was to determine the purpose of the main pharmaceutical drugs and oral care products. Respondents were dentists of various specialties, mostly of therapeutic and surgical profile. Results. Studies have shown that dentists widely use pharmaceuticals in their daily practice; a significant number of dentists regularly prescribe antibacterial drugs, namely combined antibiotics — ciprofloxacin with tinidazole (48.36 %), penicillin (40.86 %), metronidazole (34.53 %). For pain reduction, a large proportion of dentists uses nonsteroidal anti-inflammatory drugs from the group of nimesulide (85.89 %). Almost all dentists in their daily practice use tools for local treatment of infectious and inflammatory processes: chlorhexidine (82.51 %), metrogil-dent (67.51 %), local anti-inflammatory drugs (holisal) (47.54 %). The purpose of oral care products — kinds of toothpaste, rinses, toothbrushes was analyzed. Conclusions. The results of the analysis of the prescriptions of pharmaceuticals and oral care products testify to their widespread introduction in daily practice by dentists, informing dentists about modern pharmaceuticals and oral care products, data on their indications and contraindications, the likely interaction of pharmaceuticals that will affect the achievement of highly effective treatment results.
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