目的：调查了解北京北部偏远山区某镇社区高血压患者适宜人群中阿司匹林的应用现状，以利于本社区高血压患者心脑血管疾病的预防。方法：访查全镇高血压患者，填写统一的自制问卷，收集相关信息，汇总分析。结果：该镇社区常住人口5136人，访查高血压患者863人次，完成问卷调查表863张，有效797张，属于适用阿司匹林的高血压患者556人，服用阿司匹林365人，其中规范服用者334人，占全镇适用阿司匹林高血压患者的60.1%，占全镇高血压患者的41.9%。规范服用者中，不同性别组、不同年龄组均无显著差异，而心脑血管病一、二级预防不同分组间却有显著差异，高血压已合并心脑血管疾病的患者阿司匹林应用遵从性更好。结论：该镇社区地处偏远深山区，面积225.1平方公里，社区卫生服务辐射半径20~30公里，村民居住分散，高血压社区管理工作难度大，在适宜服用阿司匹林的高血压患者中尚有34.4%未服用，5.6%不规范应用，提示需对高血压患者阿司匹林适用人群加强阿司匹林抗栓干预，以每天0.42元的廉价投入取得心脑血管疾病预防的最佳效益。%Objective: Investigating the living status of hypertension patients in the application of aspirin located in remote mountain area of north Beijing.Method: Self-made questionnaire werefilled by these patients, and related information was collected and summarized.Result: There are 5136 people in this community. 863 hypertension patients joined the study, 797 effective questionnaires were collected, among which 556 hypertension patients are taking aspirin with only 334 standard treatment, accounting for 60.1% of hypertension patients treating with aspirin, 41.9% of hypertension patients. There was no significant difference between male and female, young and old for the standard treatment of aspirin. However, primary prevention and secondary prevention has significant differences between different groups of hypertension patients with aspirin.Conclusions: Community is far away from the health center, thus the community management of hypertensive patients is difficult. The inappropriate use of aspirin in patients with hypertension is 5.6%, and 34.4% without taking aspirin. To improve the primary prevention of cardio-cerebral-vascular disease in patients with hypertension, more aspirin antithrombotic interventions are needed to benefit the prevention of cardio-cerebral-vascular disease by 0.42 yuan every day.
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