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社区药房围绝经期女性心血管风险筛查试点项目:MENOVASC项目

[Pilot programme for screening perimenopausal women for cardiovascular risk from community pharmacy: MENOVASC Project].

作者信息

Palazón-Palazón Andrea, Sánchez-Martínez Diego-Pablo

机构信息

Estudiante Grado en Farmacia de la Universidad de Murcia España.

Farmacéutico y profesor asociado de la Universidad de Murcia Universidad de Murcia España.

出版信息

Farm Comunitarios. 2023 Apr 14;15(3):17-24. doi: 10.33620/FC.2173-9218.(2023).17. eCollection 2023 Jul 15.

DOI:10.33620/FC.2173-9218.(2023).17
PMID:39157698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328070/
Abstract

INTRODUCTION

Cardiovascular diseases have been the leading cause of death in the world for more than 20 years. They are generally unusual in premenopausal women due to the cardiovascular protection of endogenous estrogens, so the cardiovascular risk in these has traditionally been underestimated.

OBJECTIVES

Establish a protocol for vascular risk screening in perimenopausal women from the community pharmacy.

MATERIAL AND METHODS

Descriptive study from an opportunistic sample in a community pharmacy of women between 45 and 55 years old. Participants were cited at the pharmacy and their cholesterol and blood pressure levels, weight, and height were taken. Information was collected on women's general and specific cardiovascular risk factors, medication they were taking and smoking. These data were used to estimate cardiovascular risk using SCORE tables.

RESULTS

18 forms were collected, with the average age of the applicants being 49 (SD 3) years old. 38.9% (CI95%: 17.3 a 64.3) had high blood pressure and 44.4% (CI95%: 21.5 a 69.2) had cholesterol levels equal to or higher than 190 mg/ml. 100% had some traditional or specific risk factor for women.

CONCLUSIONS

The usefulness of vascular risk screening in perimenopausal women is confirmed. All this places value on the intervention of the community pharmacist in the detection and management of cardiovascular risk factors.

摘要

引言

二十多年来,心血管疾病一直是全球主要的死亡原因。由于内源性雌激素对心血管的保护作用,心血管疾病在绝经前女性中通常并不常见,因此这些女性的心血管风险传统上一直被低估。

目的

制定一项针对社区药房围绝经期女性进行血管风险筛查的方案。

材料与方法

对一家社区药房中45至55岁女性的机会性样本进行描述性研究。参与者在药房被邀请,并测量其胆固醇和血压水平、体重和身高。收集有关女性一般和特定心血管危险因素、正在服用的药物以及吸烟情况的信息。这些数据用于使用SCORE表估计心血管风险。

结果

共收集到18份表格,申请者的平均年龄为49(标准差3)岁。38.9%(95%置信区间:17.3至64.3)患有高血压,44.4%(95%置信区间:21.5至69.2)的胆固醇水平等于或高于190毫克/毫升。100%的人有一些女性传统或特定的危险因素。

结论

证实了围绝经期女性进行血管风险筛查的有用性。所有这些都凸显了社区药剂师在检测和管理心血管危险因素方面干预措施的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8087/11328070/fa26c8e83465/FC15-03-03_gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8087/11328070/63fe400df3d2/FC15-03-03_gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8087/11328070/fa26c8e83465/FC15-03-03_gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8087/11328070/63fe400df3d2/FC15-03-03_gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8087/11328070/fa26c8e83465/FC15-03-03_gf02.jpg

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