辽宁瓦房店地区116例心肌梗死患者常规用药情况的调查分析

Investigation of post-discharge medications of 116 patients with myocardial infarction in Wafangdian

关键词:  心肌梗死  规范用药  调查分析

Key words:  myocardial infarction  standard medication  investigation

摘要:

［目的］ 调查本地区心肌梗死患者出院后用药情况，分析影响其正确用药的原因。 ［方法］ 总结大连瓦房店市中心医院2000年至2003年116例急性心肌梗死患者出院1年内抗血小板药、血管转换酶抑制剂（ACEI）、β-受体阻滞剂、调脂药和其他药物用药情况。［结果］ 108例（93.1％）患者常规口服抗血小板药物，存在主要问题是部分患者用量偏低；75例（64.7％）患者服用ACEI；82例（70.7％）患者常规口服β-受体阻滞剂，心率达标率为39％；只有39例（33.6％）患者坚持服用调脂药；26例患者无症状长期口服硝酸酯类药物;24例患者长期口服钙通道阻滞剂（CCB）。 ［结论］ 抗血小板药物和β-受体阻滞剂使用率较好，存在主要问题是用量低，主要原因是随诊不够；影响ACEI使用率主要因为咳嗽等副作用，其次存在医师的认识问题；影响调脂药物的使用率和用量的主要原因是经济问题。

Abstract:

［Objective］ To survey the post-discharge medications of 116 patients with myocardial infarction in Dalian Wafangdian and analyze the reasons for influencing their medications.［Methods］ The data about the post-discharge medications (≤ 1 year) of 116 patients with myocardial infarction in Wafangdian Center Hospital between 2000 and 2003 were reviewed, including antiplatelet drug, beta-blocker, angiotensin-converting enzyme inhibitor(ACEI), lipid-lowering drug and other drugs.［Results］In 108 patients (93.1%) routinely took antiplatelet drug orally;75 patients (64.7%) common took ACEI orally; 82 patients (70.7%) usually took beta-blocker orally; only 39 patients (33.6%) insisted on taking lipid-lowering drug orally;26 symptomless patients long-term took orally nitrate;24 symptomless patients long-term took Calcium antagonists(CCB).［Conclusion］ Patients routinely took antiplatelet drug and beta-blocker orally ,the primary problem among which was that their dosage were low. The chief reason for the problem was that their follow-ups were not enough; The side effect of ACEI (cough) and doctors' level lowered its usage; It is evident that patients' economic status decreased the usage and dosage of lipid-lowering drug.