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目的分析冠心病稳定型心绞痛患者血脂治疗现状。方法选择2006年2月至2009年2月间我院收治疗的180例慢性稳定型心绞痛患者,住院期间均给予他汀类药物治疗,出院半年后对患者是否坚持服药及其影响因素进行随访分析。结果坚持服药与不坚持服药在不同文化程度、经济状况、职业及年龄中的分布差异有统计学意义(P<0.01)。在未坚持服药的患者中,由于健康指导不到位的占54.1%,由于经济原因的占36.1%。结论患者出院后能否坚持服用他汀类药物与患者年龄、文化程度、经济状况等有关。提高患者住院期间的健康指导水平和降低他汀类药物的治疗费用,将会使更多的患者获益。
Objective To analyze the status of blood lipid therapy in patients with coronary heart disease and stable angina pectoris. Methods A total of 180 patients with chronic stable angina pectoris admitted to our hospital from February 2006 to February 2009 were enrolled in the study. Statins were given during hospitalization. After six months’ discharge, patients were followed up for medication and its influencing factors were followed up. Results Persistence in medication and not persistence medication in different education levels, economic status, occupation and age distribution was statistically significant (P <0.01). Among those who did not adhere to medication, 54.1% were not in place because of health guidance and 36.1% due to financial reasons. Conclusions Patients after discharge can insist on taking statins and the patient’s age, education level, economic status and so on. Increasing the health guidance of patients during hospitalization and reducing the cost of statin treatment will benefit more patients.