目的 了解唐山地区缺血性脑卒中二级预防中抗栓药和调脂药的知晓率和应用现状。方法 自行设计调查问卷，采用随机抽样的方法，对我市路南、路北区中的8个社区共635例缺血性脑卒中患者抗栓药、调脂药应用情况，进行问卷调查，调查员进行统一严格培训，统一规范用语和调查方法，对问卷进行统一分析。结果 共收回有效问卷635份，抗栓药的知晓率和应用率分别为89.3%、61.4%，调脂药的知晓率和应用率分别为11.6%、7.9%。患者对疾病危险因素的知晓率偏低，医务工作者对此也缺乏充分的认识。结论 唐山地区缺血性脑卒中二级预防用药中抗栓药的知晓率和应用率明显高于调脂药，但仍处于较低水平，需加强科普宣传力度，以进一步促进二级预防工作的开展。

Objective To investigate the knowledge and use of antithrombotic and lipid-regulating medicines in Tangshan. Methods Using a self-designed questionnaire, a survey was conducted in a total of 635 patients with ischemic stroke by random sampling method in eight communities in Lunan and Lubei Districts. Unified analysis of the questionnaires was carried out. Results A total of 635 valid questionnaires were returned. The proportion of people who had some knowledge of and used antithrombotic agents was 89.3% and 61.4%, respectively while that of lipid regulatingagents was is 11.6% and 7.9%, respectively. Patients’ awareness rate of risk factors for their disease was low, and health care providers did not know much about these factors. Conclusions Awareness and use rates of antithrombotic medicine are significantly higher than those of lipid-regulating medicine in ischaemic stroke secondary prevention in Tangshan, but are still at a low level. More efforts should be devoted to knowledge popularization to facilitate secondary prevention.