社区和乡镇脑卒中高危因素筛查及干预  

High Risk Factor Screening and Intervention for Stroke in Communities and Townships

作　　者：蔡秀颜[1] 谭泽梁[1] 杨职[1] 袁莉[1] 

机构地区：[1]茂名市人民医院神经内科,广东茂名525000

出　　处：《实用临床医学（江西）》2016年第3期95-97,共3页Practical Clinical Medicine

基　　金：茂名市科技局科技计划项目(20130330)

摘　　要：目的探讨筛查脑卒中高危因素对预后的影响。方法成立筛查管理小组,在社区和乡镇开展工作,以糖尿病、高血压史、吸烟、肥胖等危险因素作筛查内容,确定高危人群,并进行针对性干预。对比干预前和干预12个月后脑卒中高危人群糖化血红蛋白(HbAlc)、收缩压、低密度脂蛋白(LDL-C)和体质指数(BMI)的变化。结果社区共筛查3301人次,筛出脑卒中高危人群832例;乡镇共8770人次,筛出高危人群788例。脑卒中高危人群干预前HbAlc、收缩压、LDL-C和BMI分别为(7.89±0.66)%、(152.01±8.01)mmHg、(4.83±0.67)nmol·L-1和(29.43±1.21)kg·m-2,干预12个月后HbAlc、收缩压、LDL-C和BMI均较干预前明显下降[分别为(6.97±0.50)%、(139.02±7.01)mmHg、(3.38±0.42)nmol·L-1)和(26.55±1.69)kg·m-2](均P<0.01)。结论筛查并专项管理脑卒中高危人群,可改善预后。Objective To investigate the effects of high risk factors on the prognosis of stroke.Methods The screening management team was established in communities and townships,and screening for diabetes,hypertension history,smoking,obesity and other risk factors was performed to identify the high risk population and to develop the targeted intervention.Glycosylated hemoglobin（HbAlc）,systolic blood pressure（SBP）,low-density lipoprotein cholesterol（LDL-C）and body mass index（BMI）were measured before and after intervention for 12 months.ResultsAmong the 3301 cases screened in communities,832 were identified as high risk for stroke.Among the 8770 cases screened in townships,788 were identified as high risk for stroke.Among the high risk population,the HbAlc,SBP,LDL-C and BMI were,respectively,（7.89±0.66）%,（152.01±8.01）mmHg,（4.83±0.67）nmol·L-1and（29.43±1.21）kg·m-2before intervention.After intervention for 12 months,the HbAlc,SBP,LDL-C and BMI were decrease by（6.97±0.50）%,（39.02±7.01）mmHg,（3.38±0.42）nmol·L-1and（26.55±1.69）kg·m-2,respectively（P〈0.01）.Conclusion Screening and special management can improve the prognosis of stroke in high risk population.

关 键 词：脑卒中 高危因素筛查 防治 

分 类 号：R195.4[医药卫生—卫生统计学]