专病门诊对脑卒中二级预防用药依从性的影响  

Effect of Special Outpatient Service on Improving Compliance of Secondary Prevention Medication in Patients with Cerebral Stroke

作　　者：龙秀英[1] 曾倩[1] 宋春江[1] 刘梅[1] 李秋茹[1] 钟晓闵[1] 曾尚霞[1] 王思迅[1] LONG Xiuying;ZENG Qian;SONG Chunjiang;LIU Mei;LI Qiuru;ZHONG Xiaomin;ZENG Shangxia;WANG Sixun(Department of Neurology,The Sixth People's Hoxpital of Chengdu,Chengdu,Sichuan,China 610051)

机构地区：[1]四川省成都市第六人民医院神经内科,四川成都610051

出　　处：《中国药业》2020年第24期26-29,共4页China Pharmaceuticals

基　　金：四川省成都市卫计委科研课题[201022]。

摘　　要：目的︰评价卒中专病门诊提高缺血性脑卒中患者二级预防用药依从性的效果.方法选取2017年至2019年医院神经内科卒中专病门诊随访的缺血性脑卒中患者276例,采用Essen卒中风险评分(ESRS)量表评价缺血性脑卒中复发风险,并分组。记录患者在卒中专病门诊随访期间使用抗栓药、他汀类药物、降压药、降糖药情况,分析缺血性脑卒中二级预防药物依从性与脑卒中复发的情况。结果276例缺血性脑卒中患者的ESRS评分,1~2分75例(27.17%),3~6分201例(72.83%);抗血小板治疗率为97.46%,23例合并心房颤动患者中16例(69.57%)予阿司匹林抗血小板治疗,7例(30.43%)予华法林抗凝治疗,合并高血压患者使用降压药治疗率为88.80%(222/250),合并糖尿病患者使用降糖药治疗率为100.00%(107/107);抗血小板药物、抗凝药物、他汀类药物、降压药、降糖药用药依从患者比例分别为95.54%,85.71%,95.26%,96.86%,94.39%;脑卒中1年复发率为4.71%。结论卒中专病门诊的缺血性脑卒中以复发高危患者居多,应加强对缺血性脑卒中复发风险的评估。卒中专病门诊随访的缺血性脑卒中患者的抗栓药和他汀类药用药规范,降压药、降糖药治疗率均较高,卒中专病门诊随访能提高缺血性卒中患者二级预防服药依从性。0bjective To evaluate the effect of the special outpatient service of stoke on improving the compliance d secondary pe-ventive medication in patients with ischenic stroke.Methods Totally 276 patients with ischemic stoke who were followed up in thespecial outpatient sevice of stoke in the Department of Neurology from 2017 to 2019 were selected.The risk of recurence in patientswith ischemic stroke was evaluated by the Essen stroke risk score(ESRS)scale.The use of antithrombotic dnmgs,statins,antilypertensivedrugs and hypoglyemic drngs during the follow-up period in the special oulpatient service of stroke were recorded,the compliance ofsecondary prevention mediation in the patients with ischemic stoke and the recumence of stroke were analyzed.Results 0f the 276paients with ischenic stroke,75 cases(27.17%)had an ESRS score of 1-2 points,201 cases(72.83%)had an ESRS score of 3-6points.The antiplatelet therapy nate of 276 patients with ischemic stroke was 97.46%.Among the 23 patients with atrial fibrillation,16cases(69.57%)were given antiplatelet therapy wih aspirin,7 cases(30.43%)were given anticoagulant therapy with warfarin,the thera-py rate of antilypertensive drugs in patients with hypertension was 88.80%(22/250),and the therapy nate of hypoglyemic drnugs inpatients with diabetes mellitus was 100.00%(107/107).The compliance rates of antiplatelet dugs,antioagulant drugs,stains,anilypertensive dngs and hypoglycemic drugs were 95.54%,85.71%,95.26%6,96.86%6,94.39%6,respectively.The 1-year recuirence rale ofcerebral stoke was 4.71%.Conclusion Most of the patients with ischemic stroke in the special outpatient service of stroke were athigh risk of recumrence,the assessment of the risk of recurent ischenic stroke should be strengthened.The standard use of antithrombot-ic drugs and statins,the therapy ate of antihypertensive drugs and hypoglycenmic dnugs are high in patients with ischenic stroke whoare followed up in the special outpatient service of stroke.The follow-up in the speial outpatient sevice of stroke can impr

关 键 词：缺血性脑卒中 复发 Essen卒中风险评分量表 卒中专病门诊 二级预防 用药依从性 

分 类 号：R95[医药卫生—药学] R973.2