NGHIÊN CỨU ĐẶC ĐIỂM SỬ DỤNG VÀ TÌNH HÌNH SỬ DỤNG KHÔNG HỢP LÝ CÁC THUỐC GIẢM ĐAU Ở BỆNH NHÂN ĐIỀU TRỊ NGOẠI TRÚ KHÔNG THAM GIA BHYT TẠI KHOA KHÁM BỆNH BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2022-2023

Abstract

Background: Using and combining analgesics in treatment is becoming increasingly popular. Along with the benefits gained from the analgesic combination methods, there are also risks related to cardiovascular complications as well as peptic ulcers. Objectives: (1) Study the characteristics of analgesic usage in outpatients without health insurance; (2) Determine the ratio of irrational analgesic uses, according to the guidance of the Health Department. Materials and method: A cross-sectional descriptive study was conducted among 400 subjects receiving analgesic drugs who were admitted to the outpatient department without joining the National Health Insurance during a six-month period from October 2022 to March 2023. Results: The rates of using non-opioid and opioid medication were 100 % and 20.5% respectively. Celecoxib has the highest rate of use in the group of non-steroidal anti-inflammatory drugs with a rate of 47.5%. In the group of opioid medications, Tramadol was used mainly at a rate of 20%. In adjuvants, Gabapentin has the highest percentage, which is 14%. The most common type of drug combination was non-opioid analgesia ± Adjuvants (79.5%) follow the World Health Organization 2 pain ladder. According to regulations of the Ministry of Health, the rate of unreasonable prescription of analgesic drugs was 22.25%, with inappropriate indications at the highest rate of 19.5%. Conclusion: Many drugs from different classes of pain relievers were used, and the rate of prescription analgesics being misused was 22.25%. It is necessary to add enough medical diagnoses before giving the drug indications and to comply with the treatment guidelines of the Ministry of Health.