First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China.
Pain Res Manag. 2020 Dec 29;2020:6636575. doi: 10.1155/2020/6636575. eCollection 2020.
To assess the rational use of drugs and the pattern of prescribing of analgesics and antibiotics for dental management and the information given by dentists in Guangzhou to their patients about the use of these drugs.
A questionnaire was distributed to 225 dentists working in Guangzhou. The questionnaires consisted of open-ended questions and were given to dentists about analgesic and antibiotic use in dentistry. The questionnaires were analyzed, and absolute frequencies were expressed in the answers to each question. The cases, the analgesics, and the antibiotics recommended by the dentists for each case were determined by the frequency analysis method of descriptive statistics.
Responses to the questionnaire were received from 164 (72.9%) dentists. Paracetamol and diclofenac were the most widely prescribed analgesics. It is also estimated that selective COX-2 inhibitors or opioid analgesics have not been administered by dentists. The antibiotics primarily used for treatment were amoxicillin and metronidazole, and amoxicillin was used for prophylaxis. While more than 80% of dentists indicated that they provided their patients with information on the use of antibiotics, the quality of the information was limited. Patients were primarily instructed by dentists to observe the dosage and dose intervals of the prescription drugs.
The results of the present study demonstrated that dentists most commonly prescribe paracetamol and diclofenac as analgesics, amoxicillin, and metronidazole for the therapy of periodontal, endodontic, and surgical procedures. The results also showed that dentists informed their patients inadequately about analgesic and antibiotic use.
评估广州市牙医在牙科管理中使用镇痛药和抗生素的合理性以及开具处方的模式，并评估牙医向患者提供这些药物使用信息的情况。
对广州市 225 名牙医进行问卷调查，问卷内容包括开放性问题，主要涉及牙医在牙科治疗中使用镇痛药和抗生素的情况。对问卷进行分析，以绝对频率表示每个问题的答案。通过描述性统计的频率分析方法，确定每位牙医针对每个病例推荐的病例数、镇痛药和抗生素。
共收到 164 名（72.9%）牙医的问卷回复。最常开的镇痛药是对乙酰氨基酚和双氯芬酸。估计牙医也没有开选择性 COX-2 抑制剂或阿片类镇痛药。治疗中主要使用的抗生素是阿莫西林和甲硝唑，而阿莫西林用于预防。虽然超过 80%的牙医表示他们向患者提供了抗生素使用信息，但信息质量有限。牙医主要告知患者观察处方药的剂量和剂量间隔。
本研究结果表明，牙医最常开的镇痛药是对乙酰氨基酚和双氯芬酸，治疗牙周、牙髓和外科手术主要使用阿莫西林和甲硝唑。结果还表明，牙医向患者提供的镇痛药和抗生素使用信息不足。
