药品评价
藥品評價
약품평개
DRUG REEVALUATION
2015年
10期
25-29
,共5页
李奇志%晏志军%张东生%姜再辉%于波%卢思楠%常晓伟
李奇誌%晏誌軍%張東生%薑再輝%于波%盧思楠%常曉偉
리기지%안지군%장동생%강재휘%우파%로사남%상효위
高血压%阿司匹林%心脑血管疾病%一级预防%二级预防%现状调查
高血壓%阿司匹林%心腦血管疾病%一級預防%二級預防%現狀調查
고혈압%아사필림%심뇌혈관질병%일급예방%이급예방%현상조사
Hypertension%Aspirin%Cardio-cerebral-vascular Diseases%Primary Prevention%Secondary Prevention%Status
目的：调查了解北京北部偏远山区某镇社区高血压患者适宜人群中阿司匹林的应用现状，以利于本社区高血压患者心脑血管疾病的预防。方法：访查全镇高血压患者，填写统一的自制问卷，收集相关信息，汇总分析。结果：该镇社区常住人口5136人，访查高血压患者863人次，完成问卷调查表863张，有效797张，属于适用阿司匹林的高血压患者556人，服用阿司匹林365人，其中规范服用者334人，占全镇适用阿司匹林高血压患者的60.1%，占全镇高血压患者的41.9%。规范服用者中，不同性别组、不同年龄组均无显著差异，而心脑血管病一、二级预防不同分组间却有显著差异，高血压已合并心脑血管疾病的患者阿司匹林应用遵从性更好。结论：该镇社区地处偏远深山区，面积225.1平方公里，社区卫生服务辐射半径20~30公里，村民居住分散，高血压社区管理工作难度大，在适宜服用阿司匹林的高血压患者中尚有34.4%未服用，5.6%不规范应用，提示需对高血压患者阿司匹林适用人群加强阿司匹林抗栓干预，以每天0.42元的廉价投入取得心脑血管疾病预防的最佳效益。
目的：調查瞭解北京北部偏遠山區某鎮社區高血壓患者適宜人群中阿司匹林的應用現狀，以利于本社區高血壓患者心腦血管疾病的預防。方法：訪查全鎮高血壓患者，填寫統一的自製問捲，收集相關信息，彙總分析。結果：該鎮社區常住人口5136人，訪查高血壓患者863人次，完成問捲調查錶863張，有效797張，屬于適用阿司匹林的高血壓患者556人，服用阿司匹林365人，其中規範服用者334人，佔全鎮適用阿司匹林高血壓患者的60.1%，佔全鎮高血壓患者的41.9%。規範服用者中，不同性彆組、不同年齡組均無顯著差異，而心腦血管病一、二級預防不同分組間卻有顯著差異，高血壓已閤併心腦血管疾病的患者阿司匹林應用遵從性更好。結論：該鎮社區地處偏遠深山區，麵積225.1平方公裏，社區衛生服務輻射半徑20~30公裏，村民居住分散，高血壓社區管理工作難度大，在適宜服用阿司匹林的高血壓患者中尚有34.4%未服用，5.6%不規範應用，提示需對高血壓患者阿司匹林適用人群加彊阿司匹林抗栓榦預，以每天0.42元的廉價投入取得心腦血管疾病預防的最佳效益。
목적：조사료해북경북부편원산구모진사구고혈압환자괄의인군중아사필림적응용현상，이리우본사구고혈압환자심뇌혈관질병적예방。방법：방사전진고혈압환자，전사통일적자제문권，수집상관신식，회총분석。결과：해진사구상주인구5136인，방사고혈압환자863인차，완성문권조사표863장，유효797장，속우괄용아사필림적고혈압환자556인，복용아사필림365인，기중규범복용자334인，점전진괄용아사필림고혈압환자적60.1%，점전진고혈압환자적41.9%。규범복용자중，불동성별조、불동년령조균무현저차이，이심뇌혈관병일、이급예방불동분조간각유현저차이，고혈압이합병심뇌혈관질병적환자아사필림응용준종성경호。결론：해진사구지처편원심산구，면적225.1평방공리，사구위생복무복사반경20~30공리，촌민거주분산，고혈압사구관리공작난도대，재괄의복용아사필림적고혈압환자중상유34.4%미복용，5.6%불규범응용，제시수대고혈압환자아사필림괄용인군가강아사필림항전간예，이매천0.42원적렴개투입취득심뇌혈관질병예방적최가효익。
Objective: Investigating the living status of hypertension patients in the application of aspirin located in remote mountain area of north Beijing.Method: Self-made questionnaire werefilled by these patients, and related information was collected and summarized.Result: There are 5136 people in this community. 863 hypertension patients joined the study, 797 effective questionnaires were collected, among which 556 hypertension patients are taking aspirin with only 334 standard treatment, accounting for 60.1% of hypertension patients treating with aspirin, 41.9% of hypertension patients. There was no significant difference between male and female, young and old for the standard treatment of aspirin. However, primary prevention and secondary prevention has significant differences between different groups of hypertension patients with aspirin.Conclusions: Community is far away from the health center, thus the community management of hypertensive patients is difficult. The inappropriate use of aspirin in patients with hypertension is 5.6%, and 34.4% without taking aspirin. To improve the primary prevention of cardio-cerebral-vascular disease in patients with hypertension, more aspirin antithrombotic interventions are needed to benefit the prevention of cardio-cerebral-vascular disease by 0.42 yuan every day.
