印度泰米尔纳德邦韦洛尔城乡高危患者中他汀类药物的使用情况：一项基于人群的横断面研究。
Prevalence of statin use among high-risk patients in urban and rural Vellore, Tamil Nadu: A population-based cross-sectional study.
作者信息
Oommen Anu Mary, Nand Khushboo, Abraham Vinod Joseph, George Kuryan, Jose V Jacob
机构信息
Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Cardiology, Christian Medical College, Vellore, Tamil Nadu, India.
出版信息
Indian J Pharmacol. 2017 Mar-Apr;49(2):201-204. doi: 10.4103/ijp.IJP_747_16.
OBJECTIVES
This study assessed statin use among diabetics and those with coronary heart disease (CHD) in Vellore, Tamil Nadu.
METHODS
A cross-sectional survey was conducted in rural and urban Vellore, among 6196 participants (30-64 years), in 2010-2012. Statin use among those with known CHD and diabetes (on diabetic medication) was recorded. A randomly selected sample of rural diabetics was resurveyed in 2016 to reassess statin use.
RESULTS
Among 61 with CHD, 23 (37.7%) were on statins. Statin use among 422 diabetics aged ≥40 years with low-density lipoprotein ≥70 mg/dl was 13.4% in urban and 7.6% among rural. Statin usage among rural diabetics aged ≥40 years increased from 7.7% in 2010-2012 to 16.6% in 2016.
CONCLUSIONS
Statin use for CHD was below 50% although higher than the use among diabetics, indicating the need to address this low rate of usage among these high-risk groups.
目的
本研究评估了印度泰米尔纳德邦韦洛尔地区糖尿病患者和冠心病（CHD）患者的他汀类药物使用情况。
方法
2010 - 2012年，在韦洛尔农村和城市地区对6196名年龄在30 - 64岁的参与者进行了横断面调查。记录已知患有冠心病和糖尿病（正在服用糖尿病药物）患者的他汀类药物使用情况。2016年对随机抽取的农村糖尿病患者样本进行了重新调查，以重新评估他汀类药物的使用情况。
结果
在61名冠心病患者中，23名（37.7%）正在服用他汀类药物。在422名年龄≥40岁、低密度脂蛋白≥70 mg/dl的糖尿病患者中，城市患者的他汀类药物使用率为13.4%，农村患者为7.6%。农村年龄≥40岁糖尿病患者的他汀类药物使用率从2010 - 2012年的7.7%增至2016年的16.6%。
结论
冠心病患者的他汀类药物使用率低于50%，但高于糖尿病患者，这表明有必要解决这些高危人群中他汀类药物使用率低的问题。
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