北京市某社区医院内科患者抗血小板治疗分析

Analysis of aspirin administration in patients with cardiovascular risk factors in a community hospital in Beijing

目的调查北京某社区医院住院患者抗血小板药物应用现状及其影响因素,以了解北京基层医院心脑血管病患者一、二级防治现状。方法采用病例调查的方法,顺序选取在北京玉泉山地区某社区医院内科住院的790例具有服用阿司匹林的指征的患者中,对其存在的心血管病危险因素、是否使用阿司匹林及影响因素进行分析。结果 790例患者中,516人使用了阿司匹林占65.3%。阿司匹林的二级预防情况稍好于一级预防(P<0.05)。Logistic回归分析显示冠心病、脑卒中、担心发生或已经发生的不良反应是导致患者未规范使用阿司匹林的重要原因。结论目前我国基层医院阿司匹林的正确使用率仍然较低,需进一步加大宣传教育力度,提高医务人员对各种指南的认识程度及防病意识。

Objective To investigate the prophylactic use of aspirin in patients with cardiovascular risk factors in a community hospital in Beijing.Methods 790 hospitalized patients with indications for anti-platelet therapy were investigated consecutively on the influential factors.Results Only 516 of 790（63.5%）patients were administrated with aspirin.The aspirin administration for secondary prevention is better than that for primary prevention.Multiple-factor logistic regression analysis confirmed that coronary heart disease,stroke and adverse reaction were main risk factors related to aspirin administration.Conclusion The rate of aspirin administration is relatively low in our community hospital.Education should be strengthened for doctors and patients in community hospitals in China.