北京市基层医生有关降压药物知识水平的现状

目的了解北京市二级医院、一级医院以及卫生服务中心(站)的医生常用降压药物的知识水平。方法2005-04-2005-11,采用不记名闭卷笔试的方法对北京市7个城近郊区共817名基层医生进行降压药物知识的调查。结果(1)有41.0%的医生不能为合并慢性喘息性支气管炎和高尿酸血症的高血压患者选择《中国高血压防治指南(2005年修订版)》(以下简称指南)推荐的降压药物,分别有43.2%和48.2%的医生不能为合并心肌梗死和合并糖尿病的高血压患者选择指南推荐的降压药物。(2)有93.6%的医生在降压0号慎用/禁忌证的选择中存在错误,89.8%的医生在β受体阻滞剂慎用/禁忌证的选择中存在错误,88.4%的医生在降压药联合应用的选择中存在错误。(3)医生常用降压药物的知识水平随着职称和学历的升高而增加,但高级职称和大本及以上学历的医生对常用降压药物的知识掌握也较差。结论基层医生常用降压药物的知识处于较低的水平,亟需提高。

A Cross-sectional Study on Knowledge of Antihypertensive Drugs Among Physicians in District and Community Hospitals in Beijing

Objective To survey the administration status of antihypertensive drugs in physicians in district and community hospitals in Beijing. Methods The knowledge level of antihypertensive drugs was investigated with examination in 817 physicians in 7 districts of Beijing from Apr.2005 to Nov.2005. Results (1) 41.0% physicians could not select the appropriate antihypertensive drugs for hypertensives coexisting chronic asthmatic bronchitis and hyperuricaemia which are recommended by "Chinese Hypertension Guidelines",43.2% for hypertensives coexisting myocardial infarction and 48.2% for hypertensives coexisting diabetes. (2)93.6% physicians answers were false in the contraindications for the antihypertensive drug named "Hypotensor No 0",89.8% for beta-blockers,and 88.4% for selecting combinations of antihypertensive drugs. (3)The knowledge level increased with educational degree and technical title,nevertheless,quite a number of physicians with advanced technical title and bachelor or higher degree still made false answers. Conclusion The knowledge level of antihypertensive drugs of physicians in district and community hospitals is not satisfied and should be improved urgently.