Unidad de Medicina Familiar 24, Instituto Mexicano del Seguro Social, Ciudad Mante, Tamaulipas.
Órgano de Operación Administrativa Desconcentrada, Instituto Mexicano del Seguro Social, Tamaulipas.
Gac Med Mex. 2024;160(2):154-160. doi: 10.24875/GMM.M24000889.
It has been documented that NSAIDs (nonsteroidal anti-inflammatory and antirheumatic drugs) reduce the effectiveness of some antihypertensive drugs.
Analyze the prescription of NSAID and the variables associated in outpatients with hypertension and explore some characteristics of the physicians.
Cross-sectional study, included patients with hypertension from the Family Medicine Unit No. 24 in Mante, Tamaulipas. From the patients, sociodemographic data, clinical history and pharmacological treatments were obtained. From the physicians, sociodemographic and academic information were collected.
Mean age of the patients was 63 ± 11 years and 31.7% were prescribed NSAIDs. When compare exposed versus non-exposed to NSAIDs, being in uncontrolled high blood pressure, uncontrolled hypertension, multimorbidity and polypharmacy. The variables associated to the prescription of NSAIDs were: uncontrolled hypertension, multimorbidity and polypharmacy. The 56.7% of the physicians were women, 83.3% with experience >10 years and 33.3% with current certification by the Council in Family Medicine.
The inappropriate prescription of NSAIDs revealed the need to implement actions to mitigate the potential risk for the hypertension patients to present a complication.
有文献记载，非甾体抗炎药（非甾体抗炎药和抗风湿药）会降低一些降压药的疗效。
分析高血压门诊患者 NSAID 的处方和相关变量，并探讨医生的一些特征。
横断面研究，包括来自塔毛利帕斯州曼特的第 24 家庭医学科的高血压患者。从患者那里获得了社会人口统计学数据、临床病史和药物治疗情况。从医生那里收集了社会人口统计学和学术信息。
患者的平均年龄为 63 ± 11 岁，31.7%的患者开了 NSAIDs。与未使用 NSAIDs 的患者相比，未控制的高血压、未控制的高血压、多种合并症和多种药物治疗的患者更易使用 NSAIDs。与 NSAIDs 处方相关的变量有：未控制的高血压、多种合并症和多种药物治疗。56.7%的医生是女性，83.3%有超过 10 年的经验，33.3%有家庭医学委员会的当前认证。
NSAIDs 的不当处方表明有必要采取行动，减轻高血压患者出现并发症的潜在风险。
