稳定型心绞痛患者阿司匹林服药依从性分析  

Analysis on the current status of antiplatelet with aspirin in 150 stable angina patients

作　　者：翟莉[1] 吕豪[1] 张英[1] 王京[1] 肖洒[1] 李怡[1] 

机构地区：[1]武警北京总队第二医院心内科,北京100037

出　　处：《武警医学院学报》2010年第10期774-776,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】分析冠心病稳定型心绞痛患者服用阿司匹林依从性的现状。【方法】选择150例冠心病稳定型心绞痛患者,住院期间均给予阿司匹林抗凝治疗,出院半年后进行随访,对患者是否坚持服药及其影响因素进行分析。【结果】大于75岁的患者与小于75岁患者比较服药依从性有显著性差异,小学文化程度与中学、大学文化程度的患者相比服药依从性有显著性差异,无收入与月收入2 000元以下及2 000元以上患者相比服药依从性有显著性差异,无业与在职及退休患者相比服药依从性有显著性差异,提示年龄越大、文化程度越低、经济状况越差及无业的患者服药依从性越差。在未坚持服药的患者中,由于健康指导不到位的占41.66%。【结论】应加强对冠心病稳定性心绞痛患者的健康指导,尤其是对文化程度低、经济状况差、年龄大及无业的患者,以进一步提高他们的服药依从性。【Objective】To analyse the current status of stable angina patients about antiplatelet therapy.【Methods】150 Patients with stable angina were administrated with aspirin.They were followed up for half a year in accordance with the compliance of the medical treatment.【Results】 There was significant difference（P0.01） in civilization level,economic status,occupation and age between proper medical taken group and irregular medicine maintenance one.Those with bad conditions couldn＇t adhere for long-term medication easily and 41.66% of them hadn＇ t correct healthy education.【Conclusions】 The healthy education effectively reinforce the compliance of medicine taken in stable angina patients especially those with advanced ages,lower educational levels,bad economoic status and unemployment so as to lower the incidence of cardiovascular disease.

关 键 词：阿司匹林 稳定型心绞痛 现状分析 

分 类 号：R139.65[医药卫生—劳动卫生]