成都市龙泉驿区脑梗死患者二级预防现状  

The current status of secondary prevention of cerebral infarction in Longquanyi District of Chengdu

作　　者：徐翠萍[1] 祝美蓉[1] 罗锐[1] 唐丹[1] 宁波[1] 杨艳[2] 钟利[1] 李伟[1] 杨斐[1] 

机构地区：[1]成都市龙泉驿区第一人民医院神经内科,成都 610021 [2] 成都市第六人民医院神经内科

出　　处：《中国神经精神疾病杂志》2013年第12期729-732,共4页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的分析龙泉驿区脑梗死患者的二级预防现状。方法前瞻性调查94例脑梗死患者出院时、卒中后3个月、12个月、24个月的二级预防情况。结果在94例脑梗死患者中,出院时、第3个月、12个月、24个月抗血小板治疗比例分别为96.8%、79.8%、63.8%、33.0%;降压药物治疗比例分别为92.1%、88.9%、76.1%、71.4%;降糖药物治疗比例分别为91.7%、91.7%、75.0%、58.3%;他汀类药物治疗比例分别为63.8%、55.3%、41.4%、22.3%;房颤患者均未抗凝治疗。结论龙泉驿区脑梗死患者的二级预防情况与指南要求尚存在很大差距。Objective To investigate the current status of secondary prevention of cerebral infarction in Longquanyi District of Chengdu. Methods Prospective Investigation on the secondary prevention was conducted in 94 pa-tients with cerebral infarction at 3, 12 and 24 months following stroke. Results The percentages of patients receiving anti-platelet therapy, antihypertensive treatment, antidiabetic drug treatment and statin therapy were 96.8%, 92.1%, 91.7%and 63.8%at hospital discharge, 79.8%, 88.9%, 91.7%and 55.3%at 3 months, 76.1%, 75.0%and 41.4%, 63.8%at 12 months and 33.0%, 71.4%;58.3%and 22.3%at 24 months, respectively. None of stroke patients with atrial fibrillation re-ceived anticoagulation therapy. Conclusion There is a large gap between the current practice of secondary prevention and guideline in patients with cerebral infarction in Longquanyi District of Chengdu.

关 键 词：卒中登记 脑梗死 二级预防 

分 类 号：R743.3[医药卫生—神经病学与精神病学]