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首页> 外文期刊>The International journal of pharmacy practice >Evaluation of use of herbal medicines among ambulatory hypertensive patients attending a secondary health care facility in Nigeria
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Evaluation of use of herbal medicines among ambulatory hypertensive patients attending a secondary health care facility in Nigeria

机译：在尼日利亚二级医疗机构就诊的非卧式高血压患者中使用草药的评估

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Objectives The aim was to evaluate use of herbal medicine among hypertensive patients. Method The study was carried out at a secondary health care facility in Maiduguri, Nigeria, between April and June 2007. Pretested questionnaires were administered to 500 ambulatory hypertensive patients attending the hypertension clinic after giving consent. Demographic data of respondents, information on reasons for use, sources of herbal medicines, co-administration with allopathic agents, effects observed, steps taken when adverse effects were observed and reasons for discontinuation of herbal medicines were obtained. Data were analysed using descriptive statistics and chi~2 at a significance level of P < 0.05.Key findings One hundred and twenty respondents were found to be using herbal medicines. Increased age was associated with increased use of herbal medicines (P < 0.05). Co-administration of herbal medicines with antihypertensive agents was done by 47.5% respondents, out of which herbs with antihypertensive activity were used by 33.33%. The majority of respondents, 71.15%, were using herbal medicines unbeknownst to their physicians. Clinically evident adverse effects due to co-administration of herbal medicines and allopathic agents were reported by 21.04% of the respondents. Side effects observed (3.79%), improvement in clinical conditions (3.03%), perceived inefficacy of the herbal medicine (1.52%) and instructions by the health care provider (21.15%) were reasons given for discontinuation of the herbal medicines. Reasons given for preferring herbal medicines were combinations of perceived failure of allopathic medicines (31.73%), relatively high cost of allopathic medicine (23.08%), socio-cultural practices/herbal knowledge (20.19%), poor accessibility to medical facilities (19.23%), safety concerns (9.62%) and uncaring attitudes of hospital staff when attending to respondents (6.73%).Conclusions Herbal medicines were often co-administered with allopathic agents by hypertensive patients, and health care givers need to be vigilant and include questions about use of herbal medicines when taking a patient's drug medication history.
机译：目的目的是评估高血压患者中草药的使用。方法该研究于2007年4月至6月在尼日利亚Maiduguri的二级卫生保健机构进行。在获得同意后，对500名在高血压诊所就诊的门诊高血压患者进行了预先测试的问卷调查。受访者的人口统计数据，使用原因信息，草药的来源，与同种疗法药物的共同用药，观察到的效果，观察到不良反应时所采取的步骤以及中止使用草药的原因。使用描述性统计数据和chi〜2进行数据分析，显着性水平为P <0.05。主要发现发现120名被调查者正在使用草药。年龄增加与草药使用量增加有关（P <0.05）。 47.5％的受访者将草药与降压药合用，其中33.33％的人使用了具有降压活性的草药。大多数被调查者（71.15％）使用的是医生不知道的草药。 21.04％的受访者报告了由草药和同种疗法药物共同使用引起的临床上明显的不良反应。观察到的副作用（3.79％），临床状况的改善（3.03％），感觉到的草药无效（1.52％）和保健提供者的指示（21.15％）是停药的原因。偏爱草药的原因有多种：感知到的同种疗法药物失效（31.73％），同种疗法药物相对较高的成本（23.08％），社会文化习俗/草药知识（20.19％），医疗设施的可及性差（19.23％） ），安全隐患（9.62％）和医院工作人员在与受访者交谈时的漠不关心态度（6.73％）。结论高血压患者通常将草药与同种疗法药物合用，并且医疗保健人员必须保持警惕，并应注意以下问题：服用患者的药物治疗史时使用草药。

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