辽宁瓦房店地区116例心肌梗死患者常规用药情况的调查分析

Investigation of post-discharge medications of 116 patients with myocardial infarction in Wafangdian

[目的]调查本地区心肌梗死患者出院后用药情况,分析影响其正确用药的原因。[方法]总结大连瓦房店市中心医院2000年至2003年116例急性心肌梗死患者出院1年内抗血小板药、血管转换酶抑制剂(ACEI)、β-受体阻滞剂、调脂药和其他药物用药情况。[结果]108例(93.1%)患者常规口服抗血小板药物,存在主要问题是部分患者用量偏低;75例(64.7%)患者服用ACEI;82例(70.7%)患者常规口服β-受体阻滞剂,心率达标率为39%;只有39例(33.6%)患者坚持服用调脂药;26例患者无症状长期口服硝酸酯类药物;24例患者长期口服钙通道阻滞剂(CCB)。[结论]抗血小板药物和β-受体阻滞剂使用率较好,存在主要问题是用量低,主要原因是随诊不够;影响ACEI使用率主要因为咳嗽等副作用,其次存在医师的认识问题;影响调脂药物的使用率和用量的主要原因是经济问题。

[ Objective] To survey the post - discharge medications of 116 patients with myocardial infarction in Dalian Wafangdian and analyze the reasons for influencing their medications. [ Methods] The data about the post - discharge medications （ ≤ 1 year） of 116 patients with myocardial infarction in Wafangdian Center Hospital between 2000 and 2003 were reviewed, including antiplatelet drug, beta- blocker, angiotensin - converting enzyme inhibitor（ACEI）, lipid - lowering drug and other drugs. [ Results] In 108 patients （93.1% ） routinely took antiplatelet drug orally; 75 patients （64.7 % ） common took ACEI orally; 82 patients （70.7 % ） usually took beta- blocker orally; only 39 patients （33.6%） insisted on taking hpid- lowering drug orally;26 symptomless patients long - term took orally nitrate;24 symptomless patients long- term took Calcium antagonists（CCB）. [ Conclusion] Patients routinely took antiplatelet drug and beta- blocker orally , the primary problem among which was that their dosage were low. The chief reason for the problem was that their follow - ups were not enough; The side effect of ACEI （cough） and doctors＇ level lowered its usage; It is evident that patients＇ economic status decreased the usage and dosage of lipid- lowering drug.