摘要
目的通过对南昌市周围农村居民、城市居民及教师群体进行卒中筛查,了解本地区卒中高危人群在不同群体的分布情况,探讨卒中筛查的意义及规范化管理后的效果。方法对不同社区的居民,通过填写调查问卷和体检进行卒中危险因素评估;对筛查出的高危人群进行生活方式和(或)药物干预等规范化管理,3年后再次对其进行危险因素评估,评价干预效果。结果农村居民746人参与筛查,高危人数177人(23.72%),通过调查问卷进行的卒中风险评估平均得分(3.30±0.59)分;城市居民1005人参与筛查,高危人数281人(27.96%),风险评估平均得分(3.68±0.78)分;教师群体1359人参与筛查,高危人数172人(12.66%),风险评估平均得分(3.21±0.51)分。3年内,农村居民有5人新发卒中,5名卒中患者死亡,1名患者因其他疾病死亡,19人通过干预由高危人群转为非高危人群,卒中风险评估平均得分(2.97±0.55)分;城市居民有5人新发卒中,5人再发卒中而死亡,88人由高危人群转为非高危人群,风险评估平均得分为(2.75±0.72)分;教师群体有2人新发卒中,1人再发卒中死亡,59人通过干预由高危人群转为非高危人群,风险评估平均得分(2.81±0.73)分。一共有51人因症状性颅内或颅外动脉狭窄行支架干预治疗,8人因颅内动脉瘤行动脉瘤栓塞术。农村居民危险因素排名前三位的分别为血脂异常(72.88%)、高血压(58.19%)、肥胖(46.33%),城市居民排名前三位的为高血压(77.22%)、血脂异常(58.36%)、肥胖(54.80%),教师群体排名前三位的为缺乏体育锻炼(86.05%)、血脂异常(84.84%)、高血压(62.79%)。对高危人群进行规范化管理,经过干预后每个群体的卒中风险评估分值都显著下降(P<0.001)。结论不同群体的卒中高危人群患病率不同,高危因素的构成比不同,可能与饮食结构、文化水平等有关;每个群体高危人群经过规范化管理,都取得了良好的干预效果。社�
Objective To investigate the effectiveness of community-based stroke risk factors screening and standardized management in Nanchang city,and to understand the prevalence of high risk population of stroke in different population in Nanchang area.Methods Stroke risk factors were evaluated by questionnaire and physical examination in rural inhabitants,urban inhabitants,and teachers in different communities of in Nanchang city.The people who had more than three risk factors were considered as high-risk people of stroke.The high-risk people were given 3-year of standardized management including changing the life style and/or drugs intervention.The risk factors were re-assessed after 3 years to evaluate the effect of these intervention.Results Of 746 rural inhabitants who participated in the screening,177(23.72%)were at high risk,and the mean score of risk factor assessment by questionnaire was(3.30±0.59).Of 1005 urban inhabitants who participated in the screening,281(27.96%)were at high risk,and the mean score of risk factor assessment was(3.68±0.78).Of 1359 teachers having undergone the screening,172(12.66%)were at high risk,and the mean score was(3.21±0.51).All the high-risk subjects were given standardized management,and their risk factors and prognosis including new-onset stroke and death were re-evaluated after 3 years.After 3 years,of the rural inhabitants,5 people occurred new-onset stroke,5 died from stroke,1 died from other disease,19 high-risk persons improved into non-high risk ones by intervention,and their mean score of risk factor assessment dropped to(2.97±0.55)(P<0.001);of urban inhabitants,5 people occurred new-onset stroke,5 died from recurrent stroke,88 highrisk persons improved into non-high risk ones,their mean score decreased to(2.75±0.72)(P<0.001);of teachers,2 persons occurred new-onset stroke,1 person died from recurrent stroke,59 high-risk persons improved into non-high risk ones,and their mean score declined to(2.81±0.78)(P<0.001).A total of 51 persons underwent artery stenting for sym
作者
刘兴媛
邓幼清
陈小红
周凤
曾美红
李欢欢
喻淑琴
魏文花
LIU Xing-Yuan;DENG You-Qing;CHEN Xiao-Hong;ZHOU Feng;ZENG Mei-Hong;LI Huan-Huan;YU Shu-Qin;WEI Wen-Hua(Department of Neurology,the Third Affiliated Hospital of Nanchang University,Nanchang 330008,China)
出处
《中国卒中杂志》
2018年第12期1251-1255,共5页
Chinese Journal of Stroke
关键词
卒中筛查
社区
规范化管理
效果
Stroke screening
Community
Standardized management
Effectiveness
