CAJ | 학술논문

目的：了解阿司匹林在北京市朝阳区高碑店社区居民心脑血管血栓性疾病中的应用现状及影响因素，为社区医生用药提供指导。方法采用面对面问卷调查的方式，对就诊于我中心及社区站的心脑血管血栓性疾病患者的阿司匹林使用情况进行调查，根据服用阿司匹林情况将高血压患者分为3组：规律服药组、不规律服药组和未服用组，并分析患者不规律服药或不服药的原因。结果接受调查的220例中，仅108例（49.1%）规律服用阿司匹林，112例（50.9%）不规律或未服用阿司匹林。患者未服用或不规律服用阿司匹林的主要原因是：担心出现副作用、医生未指导和有慎用症等。结论阿司匹林在社区心脑血管血栓性疾病中未得到广泛和正确的使用。社区医生应加强对患者的健康教育，提高患者服药依从性，降低心脑血管等血栓性疾病发病率。
목적：료해아사필림재북경시조양구고비점사구거민심뇌혈관혈전성질병중적응용현상급영향인소，위사구의생용약제공지도。방법채용면대면문권조사적방식，대취진우아중심급사구참적심뇌혈관혈전성질병환자적아사필림사용정황진행조사，근거복용아사필림정황장고혈압환자분위3조：규률복약조、불규률복약조화미복용조，병분석환자불규률복약혹불복약적원인。결과접수조사적220례중，부108례（49.1%）규률복용아사필림，112례（50.9%）불규률혹미복용아사필림。환자미복용혹불규률복용아사필림적주요원인시：담심출현부작용、의생미지도화유신용증등。결론아사필림재사구심뇌혈관혈전성질병중미득도엄범화정학적사용。사구의생응가강대환자적건강교육，제고환자복약의종성，강저심뇌혈관등혈전성질병발병솔。
Objective To investigate the current status and influence factors of aspirin in cardiovascular thrombotic diseases in Beijing Community Health Service Center. Methods To investigate the patients who come to the community health service center suffering from cardiovascular thrombotic diseases with face to face questionnaire survey. According to the usage of aspirin, patients were divided into three groups:regular medication group, irregular medication group, and not taking medicine group, and analyze the influence factors of irregular or without medication of patients. Results Among the 220 patients studied, only 108 (49.1%) patients took aspirin regularly, and 112 patients (50.9%) took aspirin irregularly or not taking. The main causes of taking aspirin irregularly or not taking are fearing of adverse reactions of aspirin, no guidance from the doctors and having contraindications of aspirin. Conclusions Aspirin have not been widely and correctly used in cardiovascular thrombotic diseases in the community health service center. Doctors of community health service should strengthen health education to patients to improve medication compliance and reduce incidence of cardiovascular thrombotic diseases.