脑卒中高危患者筛查及危险因素分析  

Screening and analysis of risk factors for stroke high risk population in hospitalized patients

作　　者：王莉[1] 陈金华[1] 赵玉章[1] 王海燕[1] 季一飞[1] 杨邦翠[1] 

机构地区：[1]川北医学院第二临床医学院.南充市中心医院神经内科,四川南充637000

出　　处：《西部医学》2017年第6期850-853,共4页Medical Journal of West China

基　　金：四川省科技支撑计划项目(2015SZ0058)

摘　　要：目的筛查脑卒中高危患者并分析其相关危险因素,为脑卒中防控措施提供依据,减少高危患者的脑卒中发生率。方法对我院2015年1月~3月年龄≥40岁的住院患者的信息资料进行收集、整理、归类、分析,并以脑卒中风险评分卡为依据,进行脑卒中高危患者筛查及危险因素分析。结果我院住院患者2750例中,其中男性1521例,女性1229例,筛查出脑卒中高危患者1026例(37.3%);脑卒中中危患者827例(30.1%);脑卒中低危患者897例32.6%。高血压、高血脂、缺乏体育锻炼、吸烟是脑卒中高危患者的主要危险因素。结论我院脑卒中高危患者比例较高,且男性高危患者比例高于女性,其比值为1.24:1。医护人员应加强住院患者脑卒中相关危险因素筛查,并对脑卒中高危患者积极采取有效的干预措施,从而减少脑卒中的发病率、降低复发率及死亡率。Objective To Screen the high risk groups of stroke patients in Nanchong Central Hospital, analyze the risk factors, provide the basis for stroke prevention and control in our district, and reduce the incidence and recurrence of stroke. Methods 2750 hospitalized patients＇ information from January 2015 to March was selected. The risk factors were analyzed with stroke risk score card. Results There were 1026 cases （（37.3%）） with high-risk in 2750 hospitalized patients, 827 cases （30.1%） with medium-risk and 897（32.6） cases with low-risk. Hypertension, dyslipidemia, lack of physicalexercise and smoking were the main risk factors for high-risk groups of stroke. Conclusion There is a high proportion of high-risk groups of stroke in hospitalized patients. The proportion of male is higher than that of the female. Medical staffs need to strengthen the inspection of risk factors of stroke and take measures actively to reduce the incidence, recurrence and death ratio of stroke patients.

关 键 词：脑卒中 高危患者 危险因素 

分 类 号：R743.1[医药卫生—神经病学与精神病学]