重庆市4家医院高血压合并糖尿病患者抗血小板药物和他汀类药物使用现状调查
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篇名: 重庆市4家医院高血压合并糖尿病患者抗血小板药物和他汀类药物使用现状调查
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摘要: 目的:了解重庆市高血压合并糖尿病患者抗血小板药物和他汀类药物使用现状,为促进两类药物在该类患者中的合理使用提供参考。方法:对2012年9月-2015年9月在重庆市4家医院治疗的部分高血压合并糖尿病患者进行问卷调查,对相关调查数据进行统计和分析。结果:共发放问卷1 800份,回收有效问卷1 800份,有效回收率为100%。1 800名受访患者中,在服用抗血小板药物的比例仅为28.9%,其中33.7%服药时间短于其罹患高血压合并糖尿病的病史时间,21.5%口服阿司匹林100 mg/d+氯吡格雷75 mg/d双联抗血小板治疗;自认为没有必要(39.2%)、担心副作用(23.0%)、不知道需要使用该药物(17.5%)是受访患者未服用抗血小板药物的主要原因。45.7%的受访患者在服用他汀类药物,其中29.3%服药时间短于其罹患高血压合并糖尿病的病史时间;辛伐他汀20~39 mg/d和阿托伐他汀10~19 mg/d为最常用药物品种和剂量,分别占服用他汀类药物患者总数的24.4%和25.3%;自认为没有必要(33.2%)、药物价格太贵(20.9%)、不知道需要使用该药物(15.8%)是受访患者未服用他汀类药物的主要原因。结论:重庆市4家医院高血压合并糖尿病患者抗血小板药物和他汀类药物的使用仍明显不足。
ABSTRACT: OBJECTIVE: To investigate the application of antiplatelet drugs and statins for patients with hypertension and diabetes in Chongqing, and provide reference for promoting the rational use of the 2 drugs for the patients. METHODS: Questionnaires were conducted for the patients with hypertension and diabetes in 4 hospitals of Chongqing from Sept. 2012 to Sept. 2015, and the related data was statistically analyzed. RESULTS: Totally 1 800 questionnaires were sent out, 1 800 were effective received, with effective recovery of 100%. In the 1 800 patients, only 28.9% patients were taking antiplatelet drugs, in which, 33.7% patients with antiplatelet drugs showed shorter time of treatment than the history of hypertension and diabetes, 21.5% patients orally received aspirin 100 mg/d+clopidogrel 75 mg/d dual antiplatelet treatment; the main reason without taking antiplatelet therapy was that 39.2% patients thought it was not necessary to take medicine, 23.0% patients feared side effects and 17.5% was not aware of using the drug. 45.7% patients were taking statins, in which, 29.3% patients with antiplatelet drugs showed shorter time of treatment than the history of hypertension and diabetes; simvastatin (20-39 mg/d) and atorvastatin (10-19 mg/d) were the most commonly used dose, accounting for 24.4% and 25.3% of the total number of statins, respectively; the main reason without taking statins was that 33.2% patients thought it was not necessary to take medicine, 20.9% patients thought it was too expensive, and 15.8% was not aware of using the drug. CONCLUSIONS: The antiplatelet drugs and statins are still underused in hypertension and diabetes patients in the 4 hospitals of Chongqing.
期刊: 2016年第27卷第33期
作者: 罗秋林,佘强,何文生
AUTHORS: LUO Qiulin,SHE Qiang,HE Wensheng
关键字: 高血压;糖尿病;抗血小板药物;他汀类药物;调查
KEYWORDS: Hypertension; Diabetes; Antiplatelet drug; Statins; Investigation
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