摘要
目的探讨社区脑卒中筛查的意义及规范化管理后的效果。方法对1091例社区居民,通过填写调查问卷,进行颈动脉彩超检查的方法进行筛查,对筛查的结果进行分析;对440例居民规范化管理1年后,按照危险因素的控制情况,进行效果评价。结果通过社区脑卒中筛查发现,1091例参与者中,876例(80.29%)为脑卒中高危人群;可变的危险因素排前三位的是超重或肥胖(61.96%)、高血压(45.73%)和血脂异常(28.69%);颈动脉彩超检查大部分颈动脉异常;对高危人群进行社区规范化管理后,60.44%的居民危险因素控制优良。结论社区脑卒中筛查是早期发现脑卒中高危人群的有效方法,对高危人群实施社区规范化管理,能够有效地控制和减少危险因素,降低脑卒中的发生,在脑卒中防控工作中起到了重要作用。
OBJECTIVE To discuss the effects of stroke screen in community and the standardized managements. METHODS 1 091 community residents were investigated with questionnaire and carotid color duplex uhrasonography. The data of the screen was analyzed. 440 community residents were treated with 1 - year of standardized management. The effect was investigated according to the control of the risk factors. RESULTS Through community stroke screening, found the 1 091 anticipants, 876 eases（80.29%）for high risk population of stroke; overweight or obese（61.96%）, hypertension（45.73%）, and dyslipidemia（28.69%）were the first three important variable risk factors; carotid artery color Doppler ultrasound examination of carotid artery abnormalities on most; After standardized management of the high risk population, 60.44% of the risk factors were controlled excellent. CONCLUSION Screen of stroke in community is an effect method to reveal the high risk population in stroke. The standardized management can control and reduce the risk factors, and prevent stroke
出处
《中国初级卫生保健》
2013年第5期16-18,共3页
Chinese Primary Health Care
关键词
脑卒中
筛查
社区
规范化管理
效果
stroke
screen
community
standardized management
effect
