RESUMO
Objetivo: Analizar la influencia del programa de prescripción electrónica "IANUS e-Receita" en la variación del gasto farmacéutico en la Gerencia de Atención Primaria de Santiago de Compostela. Material y métodos: Estudio descriptivo retrospectivo de la variación interanual del gasto farmacéutico desde enero de 2007 hasta junio de 2010 en la Gerencia de Atención Primaria de Santiago, agrupando los centros de salud en función del tiempo de implantación de la receta electrónica. Se analizó la influencia de la implantación de (..) (AU)
Assuntos
Humanos , Prescrição Eletrônica/economia , Custos de Medicamentos/estatística & dados numéricos , Conduta do Tratamento Medicamentoso/economia , Gastos em Saúde/tendências , Atenção Primária à Saúde/estatística & dados numéricosRESUMO
The bronchodilator effects of inhaled fenoterol (FI) and salbutamol aerosol (S) in 15 patients (8 male and 7 female with a median age of 44 +/- 13 years), diagnosed as suffering from asthma, were studied using spirometry (determining FEV1, FEF 25-75% and FVC) and flow volume curves (PEF, MEF 75% and MEF 25%). The mean theroric rate of FEV1, PEF, MEF 75% was defined as the theoric rate of the obstruction of central airways (PCA%) and the mean of FVC, FEF 25-75% and MEF 25% rates defined as the rate of the theoric obstruction of the peripheral airways (PPA%). Basal and 5, 15, 30, 60, 120, 240, 360, 480 minute determinations were done, after the administration of 200 mcg of S in the conventional way on two different days. The statistic study carried out using the "u" test of Mann-Whytney. No statistically significant differences in intensity, onset nor duration of the effect between both drugs were found. We concluded that FI is a drug of great utility in treatment of asthmatic patients and one which allowed, because of the easy inhaling technique, the use of beta 2 adrenergic drugs in a mayor number of patients who would otherwise have to resort to an alternative form of administration.
