摘要
目的:设计调查表格对心内科门诊使用阿司匹林的患者进行随访,分析阿司匹林临床应用的现状。方法:在心内科门诊随机抽取300例正在服用阿司匹林的患者,调查阿司匹林的使用剂量,并分析用量不足的原因。结果:在300例患者中,39.3%(118/300)患者服药剂量不正确;164例未曾住院治疗的门诊随访患者中,57.3%(94/164)剂量过低;136例心内科出院后门诊随访的患者中,17.6%(24/136)剂量过低。阿司匹林使用剂量不正确的主要原因为:患者担心出现不良反应,非心内专科医生指导,门诊医生随访中忽略询问使用情况。结论:尽管阿司匹林已广泛应用于心血管疾病的一级、二级预防,但却普遍存在使用剂量过低的情况。
Objective： To investigate and follow-up current status of the use of aspirin in eardlae outpatmnts anct analyze the cause and clinical significance of its inappropriate use. Methods： Three hundred patients were randomly selected from the outpatient of cardiology department to inquire their doses of aspirin and analyze varied causes of underdose. Results： Among 300 patients studied, 39.3% （118/300） had a wrong dose of aspirin; in 164 cardiac outpatients never hospitalized, 57.3% （94 /164） took underdose of aspirin, and only 24 of 136 （17.6%） outpatients discharged from the hospitals took underdose of aspirin. The main cause of underdose was that patients feared its adverse reaction of bleeding, wrong instructions from non-cardiac doctors, and doctors＇ negligence to inquire patients＇ use of aspirin during their visits. Conclusion： In spite of aspirin is extensively used in primary and secondary prevention for cardiovascular diseases for a long time, but underdose of aspirin is still common in practice.
出处
《心血管康复医学杂志》
CAS
2009年第6期560-562,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
阿司匹林
心血管疾病
治疗
Aspirin
Cardiovascular disease
Therapy
