急性脑梗死的一级与二级预防  

The primary and second prevention of acute cerebral infarction

作　　者：邬英全[1] 邬巍[1] 张力[1] 

机构地区：[1]吉林大学巾日联谊医院神经内二科,长春130033

出　　处：《中国实用内科杂志》2009年第11期980-982,共3页Chinese Journal of Practical Internal Medicine

摘　　要：降低急性脑梗死的患病率、病死率关键是预防。一级预防是发病前阻断疾病发生的病因预防。方法是对危险人群尽早积极有效干预危险因素。控制高血压、心脏病、糖尿病、血脂异常、高凝状态、颈动脉狭窄、高同型半胱氨酸血症、代谢综合征,戒烟少酒、合理饮食、体重适度、加强体育活动、保持心理平衡、避免诱发因素。二级预防是控制脑梗死复发,首次发病应对病因和发病机制评估。治疗可逆性病因、控制可干预危险因素。Summary：Prevention is necessary to decrease the incidence rate, morbidity and mortality of acute cerebral infarction. Primary prevention is the etiological method to stop the occurrence. The method is to deal with the risk factors effectively in the at-risk population,which includes modifying hypertension,cardiac disease, diabetes mellitus, dyslipidemia, hypercoagulable state, carotid stenosis, hyperhomocysteinemia, and metabohsm syndrome, quitting smoking, less wine, reasonable diet, moderate weight reduction, strengthening sports, maintaining psychological balance, avoiding predisposing factors. Second prevention is to assess the etiology and pathogenesis, treat reversible etiology and control interventional risk factors of the first onset in order to prevent recurrent cerebral infarction.

关 键 词：急性脑梗死 一级预防 二级预防 

分 类 号：R5[医药卫生—内科学]