北京市社区医师对抗血小板血栓防治知识掌握情况的调查

Beijing community-wide survey of physicians' knowledge of antithrombotic management

目的:评价北京市社区医务人员抗栓防治知识的知晓率。方法:研究为横断面调查,2013年8月至2013年9月,在北京10城区各选择1所社区卫生服务中心,对其下属的社区服务站的医务人员进行血栓防治方面的问卷调查。结果:收回有效问卷207份。知晓外周动脉疾病、短暂性脑缺血发作属于血栓性疾病的医师有65.7%和68.6%。知晓氯吡格雷属于抗血小板药物的医师比率为76.3%。知晓阿司匹林可能诱发痛风、脑出血的医师分别占43%和56.5%。8.7%的医师不知晓如何指导患者服用阿司匹林。结论:所调查社区医师重视心血管疾病的血栓防治;但尚需通过培训提高社区医师抗栓治疗知识的掌握程度。

Objective： To investigate the awareness of antithrombotic therapy of community medical staff in Beijing. Methods： This is a cross-sectional study. Questionnaire was used to investigate awareness of diagnostic criteria, prevention, and therapy strategy for thrombotic diseases among 207 community medical staff in 10 community health centers between August and September 2013. Results： It was found that only of 65.7% and 68.6% of physicians were aware that peripheral artery disease （PAD） and transient ischemic attack （TIA） was part of the thrombotic disease. Only 76. 3% of physician were aware that Clopidogrel was one of antiplatelet drug. Almost all the physician were aware that Aspirin could cause gastrointestinal bleeding problems, only 43% heart about the gout, and 56. 5% about cerebral bleeding. Almost 8.7% of them did not know how to instruct the use of aipirin. Conclusion： Since majority of the physicians had positive attitude towards thromboiic therapy, promotion of their knowledge on thrombolic knowledge seems necessary in prevention of subsequent complications.