健康管理在社区脑卒中患者中的应用研究  

Study on the application of health management in community in patients with cerebral stroke

作　　者：焦丽艳[1] 李焰[1] 原平[1] 刘凤丽 王培培 JIAO Liyan;LI Yan;YUAN Ping;LIU Fengli;WANG Peipei(Affility hospital of Hebei Engineering University,Hebei,Handan 056002,China)

机构地区：[1]河北工程大学附属医院,河北省邯郸市056002 [2]河北工程大学医学院

出　　处：《河北医药》2018年第8期1260-1262,共3页Hebei Medical Journal

基　　金：邯郸市科学技术研究与发展计划项目(编号:1323108088-3);河北省社会科学基金项目(编号:HB15GL120);河北省卫生厅科研基金项目(编号:ZD20140371)

摘　　要：目的评价健康管理在社区脑卒中人群中实施的效果,以期预防或推迟再发脑卒中的危险。方法2014年6月至2015年6月在邯郸市丛台区4个社区选取200例脑卒中患者,建立研究队列。选用200例相邻其他社区脑卒中同期、病情相近的患者作为对照组。入组后受试者完成血压检查。社区卫生服务人员负责对管理对象实施1年随访管理,督促按方案用药,并进行戒烟、限酒、合理膳食、适量运动等生活方式指导。结果健康管理组人群脑卒中发生率(4.9%)显著低于对照组(19.7%),脑卒中患者的抢救成功率(91.6%)显著高于对照组(70.2%),脑卒中患者的病死率(8.5%)显著低于对照组(28.9%),脑卒中患者的致残率(18%)显著低于对照组(89.16%),差异均有统计学意义(P<0.05)。结论在脑卒中高危人群中实施健康管理,定期指导和随访脑卒中患者,能够有效预防和控制脑卒中的发生率。Objective To evaluate the effects of health management in community in patients with cerebral stroke in order to prevent or delay the risk of recurrent cerebral apoplexy.Methods Two hundred patients with cerebral stroke selected from 4 communities in Congtai district of Handan City from June 2014 to June 2015 were enrolled in the study(health management group).Meanwhile the other 200 patients with cerebral stroke selected from adjacent communities were enrolled as control group.Then blood pressure examination was performed for all the subjects,with 1-year follow up for both groups to supervise medication according to the plan,and to give them guidances to life styles including smoking cessation,alcohol restriction,reasonable diet and proper exercise.Results The incidence rate of cerebral stroke in health management group was 4.9%,which was significantly lower than that(19.7%)in control group(P<0.05).The rescue success rate in health management group was 91.6%,which was significantly higher than that(70.2%)in control group(P<0.05).Moreover the mortality in health management group was 8.5%,which was is significantly lower than that(28.9%)in control group(P<0.05),and the mutilation rate in health management group was 18%,which was significantly lower than(89.16%)in control group(P<0.05).Conclusion The implementation of health management,regular guidance and follow-up in cerebral stroke high-risk population can effectively prevent and control the incidence of cerebral stroke.

关 键 词：健康管理 脑卒中 社区 

分 类 号：R743.3[医药卫生—神经病学与精神病学]