CAJ | 학술논문

目的：描述和分析社区管理中的糖尿病和高血压患者的阿司匹林的用药现状。方法调查214例糖尿病患者、703例高血压患者,了解阿司匹林的用药现状。结果214例糖尿病患者中阿司匹林规律足量用药仅73例(34.1%)、703例高血压患者中阿司匹林规律用药83例(11.8%),151例高血压早期肾脏损害患者中规律足量服用阿司匹林肠溶片仅42例(27.8%),与指南要求差距较大。糖尿病患者中有高血压家族史阿司匹林的规律用药率(42.3%)明显高于无高血压家族史的19.5%(P=0.001)。其他组间差异无统计学意义(P>0.05)。151例高血压早期肾脏损害患者中有无早发心血管家族史、是否吸烟、低密度脂蛋白胆固醇是否达标、尿微量白蛋白是否正常、不同性别间阿司匹林的服药情况差异无统计学意义(P>0.05)。结论社区糖尿病、高血压管理中阿司匹林规范服药不理想,要培训全科医生掌握并落实糖尿病、高血压防治指南内容；做好患者的健康教育。
목적：묘술화분석사구관리중적당뇨병화고혈압환자적아사필림적용약현상。방법조사214례당뇨병환자、703례고혈압환자,료해아사필림적용약현상。결과214례당뇨병환자중아사필림규률족량용약부73례(34.1%)、703례고혈압환자중아사필림규률용약83례(11.8%),151례고혈압조기신장손해환자중규률족량복용아사필림장용편부42례(27.8%),여지남요구차거교대。당뇨병환자중유고혈압가족사아사필림적규률용약솔(42.3%)명현고우무고혈압가족사적19.5%(P=0.001)。기타조간차이무통계학의의(P>0.05)。151례고혈압조기신장손해환자중유무조발심혈관가족사、시부흡연、저밀도지단백담고순시부체표、뇨미량백단백시부정상、불동성별간아사필림적복약정황차이무통계학의의(P>0.05)。결론사구당뇨병、고혈압관리중아사필림규범복약불이상,요배훈전과의생장악병락실당뇨병、고혈압방치지남내용；주호환자적건강교육。
Objective To describe and analyze the medication situation of aspirin taken by diabetes mellitus and hypertension patients in the community management. Methods The medication situation of aspirin were researched in 214 cases of diabetes mellitus and 703 cases of hypertension patients. Results The numbers of regular and adequate use of aspirin among 214 cases of diabetes mellitus were 73 cases (34.1%), and those among 703 cases of hypertension were 83 cases (11.8%). Only 42 cases (27.8%) among 151 cases of early hypertensive renal damage took regular and adequate use of aspirin enteric-coated tablets. These numbers had large gap with the guideline of drug use. The regular use rate of aspirin of the patients who had the family history of hypertension (42.3%) was obviously higher than that of those who had no family history of the disease (19.5%) (P=0.001). There were no significant differences between the other groups (P>0.05). Among the 151 cases of early hypertensive renal damage, the differences of family history of early cardiovascular disease, smoking, standard low density lipoprotein cholesterin, normal microalbuminuria, and use of aspirin between different genders were not statistically significant (P>0.05). Conclusion The use of aspirin is not well in the community management of diabetes mellitus and hypertension. It is necessary for training doctors to follow prevention guideline of diabetes mellitus and hypertension, and to provide health education for patients.