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目的:了解农村地高辛中毒患者出现中毒的原因,并提出对策。方法:自行设计服用地高辛情况调查表,内容包括患者的一般情况,对疾病及治疗的认识,家庭成员及支持情况,服用地高辛量、时间及药物(地高辛)的来源,基础疾病(包括有无肝肾功能不全)及联合用药情况等共16条目。对来自农村的21例地高辛中毒者进行调查。结果:出现中毒的21例患者中不按时服药、不按医嘱的剂量服药、服药前不测脉搏、不按时复查的发生率分别为38.1%,47.6%,85.7%,90.5%;不遵医的主要原因为对自身疾病认识不足、求医心切、经济困难、社会及家庭支持不够等。结论:农村地高辛服用者出现中毒的原因是多方面的,应加强健康教育及行为指导,以减少中毒发生率。
Objective: To understand the causes of poisoning in rural patients with digoxin poisoning and to put forward countermeasures. Methods: A self-designed questionnaire on the use of digoxin was prepared, covering the general condition of patients, their knowledge of diseases and treatment, their family members and support, the amount of digoxin consumed, the time and the source of digoxin, and their basis Diseases (including liver and kidney dysfunction) and the combined use of a total of 16 items. 21 cases of digoxin poisoning from rural areas were investigated. Results: The 21 cases of poisoning did not take medication on time and did not take the prescribed dose. Before taking the medicine, they did not measure pulse, and the incidence of non-recheck was 38.1%, 47.6%, 85.7% and 90.5% respectively. The reason is lack of understanding of their own diseases, medical treatment, economic difficulties, social and family support is not enough. Conclusion: There are many causes of poisoning among rural digoxin users. Health education and behavioral guidance should be strengthened to reduce the incidence of poisoning.