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目的探讨本院阿司匹林在心脑血管血栓性疾病患者治疗中的应用情况和影响因素。方法选取溧阳市人民医院2015年收治的心脑血管血栓性疾病患者832例,通过调查问卷方式统计阿司匹林使用情况,重点分析部分患者不规律或未使用阿司匹林的影响因素。结果规律服药患者占48.3%,不规律服药及未服药患者占51.7%。规律服药组缺乏医生指导、担心不良反应、慎用症比例低于不规律服药和未服药,差异有统计学意义(P<0.05)。结论阿司匹林是一种安全、经济、高效的抗心脑血管血栓性疾病药物,本院还未能广泛应用阿司匹林防治心脑血管血栓性疾病,主要影响因素有担心阿司匹林的不良反应、医生未能科学指导、慎用症;临床工作中可通过积极的合理健康宣教和用药指导,调整用药方法提高患者依从性,促进阿司匹林的广泛应用,让这种经济、高效、实用的“老药”更好地造福人类。
Objective To investigate the application of aspirin in the treatment of patients with cardiovascular and cerebrovascular thrombosis and its influencing factors. Methods A total of 832 patients with cardiovascular and cerebrovascular thrombosis who were admitted to Liyang People’s Hospital in 2015 were enrolled in this study. The aspirin use status was surveyed by questionnaire, and the influencing factors of irregular or unused aspirin in some patients were analyzed. The results of regular medication patients accounted for 48.3%, irregular medication and non-medication patients accounted for 51.7%. Regular medication group lack of medical guidance, fear of adverse reactions, caution with the proportion of less than irregular medication and no medication, the difference was statistically significant (P <0.05). Conclusions Aspirin is a safe, economical and effective anti-cardiovascular and thrombotic disease drug. In our hospital, aspirin has not been widely used in the prevention and treatment of cardiovascular and cerebrovascular thrombotic diseases. The main influencing factors are the adverse reactions of aspirin and the lack of scientific Guidance, caution syndrome; clinical work through positive and reasonable health education and medication guidance, adjust the medication to improve patient compliance and promote the widespread use of aspirin, so that this economical, efficient and practical “old drug” more Good for the benefit of mankind.