辽宁省6个县838名农村基层医生脑卒中相关知识及处理能力的调查  

Knowledge and Ability of Treatment of Stroke Among Physicians in Rural Area of Liaoning Province

作　　者：孟秀君[1] 侯率[1] 费学萍[1] 康志伟[1] 高素兰[1] 徐瑞珍 宋晓红 孙美波 杨岗 吴敬湘 王秀清 李宁[8] 

机构地区：[1]中国医科大学附属第四医院神经内科,辽宁省沈阳市110005 [2]大洼县医院 [3]本溪县医院 [4]庄河人民医院 [5]西丰县第一医院 [6]建平县医院 [7]阜新县人民医院 [8]辽宁省疾病预防控制中心

出　　处：《中国全科医学》2010年第4期399-400,403,共3页Chinese General Practice

基　　金：国家"十一五"科技攻关计划项目(2007BAI07A13)

摘　　要：目的了解农村基层医生脑卒中防治知识的掌握情况以及对脑卒中的临床处理能力。方法2008年6—7月在辽宁省建平县、大洼县、西丰县、阜蒙县、本溪县、庄河市的6个县级医院、179个乡卫生院、1332个村卫生室中分别分层随机抽取47人、125人、666人,共计838名农村基层医生,采用闭卷笔试的方式对其进行脑卒中相关知识的调查。结果有90.8%的医生掌握"脑卒中发生起最重要作用的因素是高血压",74.9%的医生掌握高血压的诊断标准,32.9%的医生掌握糖尿病的诊断标准;分别有37.9%、36.8%的医生掌握急性脑卒中的降压指征和降压目标。不同学历、年龄、医院级别的医生对脑卒中相关知识的掌握情况间差异有统计学意义(P<0.05)。结论农村基层医生的脑卒中相关知识掌握情况及处理能力较差,防治水平亟须提高。Objective To estimate the knowledge level and clinical ability of prevention and control of cerebro-vascular diseases among physicians in grass-roots hospitals of rural areas.Methods Totally 838 physicians working at grass-roots hospitals form three different levels of county,town and village in six counties of Liaoning Province were enrolled.They were given an written examination on the relative knowledge of stroke.Results Some 90.8% of the physicians realized the ＂hypertension is the most important and independent risk factor of stroke＂,74.9% and 32.9% knew the diagnosis criterion of hypertension and that of diabetes mellitus,respectively.Some 37.9% and 36.8% of the physicians learnt the indicator and goal of depressurization for acute stroke.There were significant differences in mastering the relative knowledge of strike among physicians with different educational levels,ages and working with different levels of hospitals.Conclusion The knowledge level and clinical ability of prevention and control of cerebro-vascular diseases of physicians working at grass-roots hospitals of rural areas are lower,which need to be improved.

关 键 词：脑卒中 乡村医生 知识 辽宁 

分 类 号：R743[医药卫生—神经病学与精神病学]