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目的:对阿司匹林在社区高血压患者健康管理中的应用现状及影响因素进行研究分析。方法:选取300例高血压患者,按照使用阿司匹林状况将其分3组,A组规律服药组,B组不规律服药组,C组未服用组,分析其不规律和未服用的原因。结果:300例社区高血压患者中,72例规律用药,占24.0%,111例不规律用药,占37.0%,117例未服药,占39.0%。A组患者出现心脑血管并发症发生率显著低于B组患者和C组患者,差异具有统计学意义(P<0.05);B组患者和C组患者出现心脑血管并发症发生率比较,差异无统计学意义(P>0.05);3组患者出现出血并发症发生率比较,差异无统计学意义(P>0.05);医生指导不到位为社区高血压患者不规律用药或是为服药的主要因素,患者担心出现出血不良反应和不清楚药物适应证为次要原因。同时,在不规律用药中,担心出现出血并发症减少药剂量和停止用药的比例较高。结论:阿司匹林在社区高血压患者健康管理中未被正确、广泛推广使用,并且社区医生对阿司匹林用药指导不到位,患者自身不能正确的理解阿司匹林不良反应。应对社区医生和患者实施健康教育措施,促使阿司匹林正确使用。
Objective: To study and analyze the current status and influential factors of aspirin in the management of hypertension in community-based patients. Methods: 300 hypertensive patients were selected and divided into 3 groups according to their aspirin status. Group A received regular medication, Group B received irregular medication, and Group C did not take medication. The causes of irregular and unused patients were analyzed. Results: Among 300 hypertensive patients in community, 72 cases were regular medication, accounting for 24.0%, 111 cases were irregular medication, accounting for 37.0%, 117 cases were not taking medication, accounting for 39.0%. The incidence of cardiovascular and cerebrovascular complications in group A was significantly lower than that in group B and group C (P <0.05). The incidence of cardiovascular and cerebrovascular complications in group B and group C was significantly higher than that in group C There was no significant difference between the two groups (P> 0.05). There was no significant difference in the incidence of bleeding complication between the three groups (P> 0.05) The main reason for this is that patients are worried about the occurrence of bleeding-related adverse events and unclear drug indications as secondary causes. At the same time, in irregular medication, worry about the occurrence of bleeding complications reduce the dose and stop the use of drugs a higher proportion. Conclusion: Aspirin has not been correctly and widely used in the management of hypertension in community patients. And community doctors have not given enough instructions for aspirin use. Patients themselves can not correctly understand the adverse reactions of aspirin. Health education should be implemented for community doctors and patients to promote the proper use of aspirin.