关于阿司匹林在心内科门诊使用情况的调查

Investigate the Utilization of Aspirin in Cardiac Outpatients

目的:调查心内科门诊使用阿司匹林(ASA)的情况,探讨引起其临床应用不恰当的一些主要原因。方法:随机在心 内科门诊抽取240例正在使用ASA的患者.询问ASA的使用剂量,分析用量不恰当的各种原因。结果:在240例患者中, 63％患者剂量不恰当;其中,172例门诊随访患者中,76.3％剂最过低;而68例出院后门诊随访的患者中,20.58％患者剂量 过低。ASA使用剂量不恰当的主要原因为:非心内科医生指导错误;目前ASA种类繁多,门诊医生未能详细说明服用剂量, 随访中忽略询问使用情况;患者担心不良反应。结论:尽管ASA已广泛应用于心血管疾病的一级预防和二级预防,但却普 遍存在使用剂量过低的情况。

Objective: We investigated utilization of aspirin in cardiac outpatients, analyzed its inappropriate clinical status, discussed its clinical meanings. Methods: We randomly choosed 240 patients from cardiac outpatients and inquired the doses of aspirin, then analyzed different causes of underutilization.Results: Among 240 patients, 63% had wrong dose. Cardiac outpatients after discharge, 76.3% were underutilization; of cardiac outpatients without having been in hospital, 20.58% were underutilization. The main causes of underutilization were. Patients were afraid of risk of bleeding, non-cardiac doctors guided in error, doctors in clinic overlook inquiring the doses .Conclusion: Although aspirin was extensively used in first prevention and secondary of cardiovascular disease, underutilization commonly existed.