缺血性卒中二级预防药物依从性研究

被引:13
作者
汪柳霞 [1 ]
董漪 [2 ]
方堃 [2 ]
董强 [2 ]
机构
[1] 厦门大学附属中山医院神经电生理室
[2] 复旦大学附属华山医院神经内科
关键词
卒中; 危险因素; 二级预防; 药物治疗;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
目的评估卒中单元医疗模式的建立后,卒中二级预防措施的成效。方法回顾性分析获得完整资料152例缺血性卒中患者;对比前瞻性分析2004年11月至2005年12月期间获得完整资料138例。电话随访所收集的患者出院后3个月的二级预防药物使用情况,包括抗栓药、他汀类药物。结果传统治疗组与卒中单元组相比,抗栓药使用比例由69.1%上升至87.7%,他汀类使用比例由17.1%上升至56.5%,差异有显著的统计学意义。结论卒中单元医疗模式的启动后,卒中二级预防的药物治疗情况有了一定的改善,但是临床实践和二级预防的指南之间仍存在明显的差距。
引用
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页码:11 / 17
页数:7
相关论文
共 8 条
[1]  
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke: Co-Sponsored by the Council on Cardiovascular Radiology and Intervention: The American Academy of Neurology affirms the value of this guideline[J] . Ralph L. Sacco,Robert Adams,Greg Albers,Mark J. Alberts,Oscar Benavente,Karen Furie,Larry B. Goldstein,Philip Gorelick,Jonathan
[2]   In-hospital initiation of secondary stroke prevention therapies yields high rates of adherence at follow-up [J].
Ovbiagele, B ;
Saver, JL ;
Fredieu, A ;
Suzuki, S ;
Selco, S ;
Rajajee, V ;
McNair, N ;
Razinia, T ;
Kidwell, CS .
STROKE, 2004, 35 (12) :2879-2883
[3]  
PROTECT: A coordinated stroke treatment program to prevent recurrent thromboembolic events[J] . B Ovbiagele,J L. Saver,A Fredieu,S Suzuki,N McNair,A Dandekar,T Razinia,C S. Kidwell.Neurology . 2004 (7)
[4]   Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines [J].
Grundy, SM ;
Cleeman, JI ;
Merz, CNB ;
Brewer, HB ;
Clark, LT ;
Hunninghake, DB ;
Pasternak, RC ;
Smith, SC ;
Stone, NJ .
CIRCULATION, 2004, 110 (02) :227-239
[5]  
Compliance With Secondary Prevention of Ischemic Stroke: A Prospective Evaluation[J] . Tanja Sappok,Andreas Faulstich,Erika Stuckert,Holger Kruck,Peter Marx,Hans-Christian Koennecke.Stroke: Journal of the American Heart Association . 2001 (8)
[6]  
Cardiac evaluation of stroke patients[J] . Janet L. Wilterdink,Karen L. Furie,J. Donald Easton.Neurology . 1998 (3 Su)
[7]  
Secondary prevention for stroke in the United Kingdom:results from the national sentinel audit of Stroke. Rudd AG,Lowe D,Hoffman A,et al. Age and Ageing . 2004
[8]  
Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. European Stroke Organisation(ESO) Executive Committee,ESO Writing Committee. Cerebrovascular Diseases . 2008