河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
9期
1577-1580
,共4页
他汀类药物%社区应用%血脂异常
他汀類藥物%社區應用%血脂異常
타정류약물%사구응용%혈지이상
Statin drugs%Community usage%Dyslipidemia
目的：对社区血脂异常患者他汀类药物的使用情况进行调查，并分析现状产生的原因。方法：选择2013年2月至2013年9月在社区卫生服务中心做血脂复查的患者124例，调查其使用他汀类药物的情况以及未服用他汀类药物患者不选择的原因，将服用他汀类药与未服用他汀类药的患者归为服用组与未服用组，比较两组患者的血脂水平。结果：124例患者中，30例患者使用他汀类药物，使用率为24．2％，58例患者（46．8％）使用其他药物进行治疗，另外36例（29．0％）患者未使用降脂药物；未服用他汀类的原因分析，知识缺乏有42例（44．7％），医生处方原因28例（29．8％），担心不良反应16例（17．0％），经济原因有8例（8．5％）；服用组LDL、TG和 TC 水平均较未服用组明显降低， HDL水平较未服用组明显上升，差异具有统计学意义（ P＜0．05）。结论：社区血脂异常患者中他汀类药物的使用率明显偏低，且他汀类药物能明显改善血脂异常患者的血脂水平，未服用他汀类药物的主要原因是对他汀类相关知识不了解，社区医院应该加强对他汀类药物的推广。
目的：對社區血脂異常患者他汀類藥物的使用情況進行調查，併分析現狀產生的原因。方法：選擇2013年2月至2013年9月在社區衛生服務中心做血脂複查的患者124例，調查其使用他汀類藥物的情況以及未服用他汀類藥物患者不選擇的原因，將服用他汀類藥與未服用他汀類藥的患者歸為服用組與未服用組，比較兩組患者的血脂水平。結果：124例患者中，30例患者使用他汀類藥物，使用率為24．2％，58例患者（46．8％）使用其他藥物進行治療，另外36例（29．0％）患者未使用降脂藥物；未服用他汀類的原因分析，知識缺乏有42例（44．7％），醫生處方原因28例（29．8％），擔心不良反應16例（17．0％），經濟原因有8例（8．5％）；服用組LDL、TG和 TC 水平均較未服用組明顯降低， HDL水平較未服用組明顯上升，差異具有統計學意義（ P＜0．05）。結論：社區血脂異常患者中他汀類藥物的使用率明顯偏低，且他汀類藥物能明顯改善血脂異常患者的血脂水平，未服用他汀類藥物的主要原因是對他汀類相關知識不瞭解，社區醫院應該加彊對他汀類藥物的推廣。
목적：대사구혈지이상환자타정류약물적사용정황진행조사，병분석현상산생적원인。방법：선택2013년2월지2013년9월재사구위생복무중심주혈지복사적환자124례，조사기사용타정류약물적정황이급미복용타정류약물환자불선택적원인，장복용타정류약여미복용타정류약적환자귀위복용조여미복용조，비교량조환자적혈지수평。결과：124례환자중，30례환자사용타정류약물，사용솔위24．2％，58례환자（46．8％）사용기타약물진행치료，령외36례（29．0％）환자미사용강지약물；미복용타정류적원인분석，지식결핍유42례（44．7％），의생처방원인28례（29．8％），담심불량반응16례（17．0％），경제원인유8례（8．5％）；복용조LDL、TG화 TC 수평균교미복용조명현강저， HDL수평교미복용조명현상승，차이구유통계학의의（ P＜0．05）。결론：사구혈지이상환자중타정류약물적사용솔명현편저，차타정류약물능명현개선혈지이상환자적혈지수평，미복용타정류약물적주요원인시대타정류상관지식불료해，사구의원응해가강대타정류약물적추엄。
Objective:To investigate the use of statin drugs in patients with dyslipidemia in the commu-nity,and to analyze the causes of the current situation .Method:124 patients reviewed the level of lipids in community health service centers from February 2013 to September 2013 were selected , the usage of statin drugs and the reasons for patients did not choose statin drugs were investigated , patients who were taking st-atins and had not take statins were classified into take group and not take group ,and lipid levels of the two groups were compared .Result:In 124 patients, 30 patients were using statin drugs ,the utilization rate was 24.2%, 58 patients (46.8%) were using other drugs for treatment , while 36 cases (29.0%) without use any type of lipid-lowering drugs;42 cases (44.7%) lacked of knowledge about statins ,which was the main rea-son that patients did not take statins , 28 patients (29.8%) was by the error doctor's prescription, and 16 ca-ses (17.0%) feared of adverse reactions, 8 cases (8.5%) were by economic reasons;LDL, TG and TC lev-els were significantly lower in take group than that of not take group , HDL level was significantly increased in take group than in not take group , the difference was statistically significant ( P <0.05) .Conclusion:The u-tilization rate of statin drugs in patients with dyslipidemia in community is significantly lower , and statin drugs can significantly improve blood lipid levels in patients with dyslipidemia ,lack of statin-related knowl-edge and understanding is main reason that not take Statin drugs , community hospitals should be strength-ened the promotion of statin drugs .
