Cardiovascular Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Chin Med J (Engl). 2010 Apr 5;123(7):884-9.
An elevated serum lipid is one of the major risk factors for coronary heart disease (CHD). Physicians' awareness contributes to successful adoption of practice guidelines. Community medical centers are the primary defense against chronic disease. This study aimed to investigate community physicians' awareness of cholesterol guidelines and their utilization.
Six hundred and one community physicians were randomly selected from four different regions, and completed a confidential and semi-structured questionnaire. Four hundred and ninety-one completed the questionnaire, and 486 valid questionnaires were available.
The physicians' fundamental knowledge of lipids was astonishingly poor, while the awareness of cholesterol guidelines was low. Only 24% and 14% of the physicians reported the right optimal low-density lipoprotein cholesterol (LDL-C) level for CHD and diabetes patients respectively. More than half of the physicians (55.8%) mistakenly considered elevated transaminases to be the lethal side effect of statins. More than half of the physicians (51.9%) would give up statin treatment in the case of transaminase elevation.
Educational interventions to improve cholesterol knowledge and to publicize standard treatment are needed among Chinese community physicians.
血清脂质升高是冠心病（CHD）的主要危险因素之一。医生的意识有助于成功采用实践指南。社区医疗中心是防治慢性病的主要防线。本研究旨在调查社区医生对胆固醇指南的认识及其应用情况。
从四个不同地区随机抽取 601 名社区医生，完成一份机密的半结构式问卷。有 491 名医生完成了问卷，其中 486 份有效问卷可用。
医生对脂质的基本知识惊人地匮乏，而对胆固醇指南的认识水平较低。只有 24%和 14%的医生分别报告了冠心病和糖尿病患者的正确最佳低密度脂蛋白胆固醇（LDL-C）水平。超过一半的医生（55.8%）错误地认为升高的转氨酶是他汀类药物的致命副作用。超过一半的医生（51.9%）在转氨酶升高的情况下会放弃他汀类药物治疗。
需要对中国社区医生进行胆固醇知识教育干预，并宣传标准治疗。
