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牙科门诊患者常用药物:全科牙科诊疗中的考量因素

Common medications among dental outpatients: considerations in general dental practice.

作者信息

Cutfield Nicholas I, Tong Darryl C

机构信息

Sir John Walsh Research Institute, Department of Oral Diagnostic and Surgical Sciences, School of Dentistry, The University of Otago, Dunedin.

出版信息

N Z Dent J. 2012 Dec;108(4):140-7.

PMID:23477013
Abstract

OBJECTIVES

To provide information about the most common medications listed as being taken by dental patients presenting to an outpatient setting at a tertiary institution and to establish a list of the most common medications for review for the general dental practitioner.

METHODS

A retrospective review was undertaken of 300 dental outpatient notes chosen from patients seen in the urgent dental care and exodontia clinics at the School of Dentistry in Dunedin. Data were recorded on patient age, medication list reported at the time of presentation and the number of medications. The ten most common medications encountered were listed in order of frequency, along with the ten most common prescription medications and the most common supplements or alternative remedies. A concise pharmacological synopsis for each of the ten most common medications was then presented as a review.

RESULTS

The age range of patients was from 18 to 88 years, with a mean age of 43.2 years (median age 41 years). More than one-quarter were aged 20-29 years. Some 56% of patients reported taking at least one medication at the time of presentation. The greatest number of medications being taken by an individual patient was 15. Of 138 different medications identified, the most commonly reported included aspirin, paracetamol and omeprazole. A list of the ten most common medications was established for concise review, in order to outline aspects important to the general dental practitioner.

CONCLUSIONS

This study provides information on the most common medications reported among dental outpatients presenting to a tertiary institution and highlights the need for general dental practitioners to be knowledgeable about them and their impact on dental treatment.

摘要

目的

提供在一所三级医疗机构门诊就诊的牙科患者所服用的最常见药物的相关信息,并为普通牙科医生制定一份最常见药物清单以供参考。

方法

对从达尼丁牙科学院急诊牙科和拔牙诊所的患者中选取的300份牙科门诊记录进行回顾性研究。记录患者年龄、就诊时报告的用药清单以及用药数量。按出现频率列出十种最常见的药物,以及十种最常见的处方药和最常见的补充剂或替代疗法。然后对十种最常见药物中的每一种进行简要的药理学概述以供参考。

结果

患者年龄范围为18至88岁,平均年龄为43.2岁(中位年龄41岁)。超过四分之一的患者年龄在20至29岁之间。约56%的患者报告在就诊时至少服用一种药物。单个患者服用的药物数量最多为15种。在确定的138种不同药物中,最常报告的包括阿司匹林、对乙酰氨基酚和奥美拉唑。为简要参考制定了十种最常见药物的清单,以概述对普通牙科医生重要的方面。

结论

本研究提供了在一所三级医疗机构就诊的牙科门诊患者中报告的最常见药物的信息,并强调普通牙科医生需要了解这些药物及其对牙科治疗的影响。

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