摘要
目的通过调查淡澳地区缺血性脑卒中患者脑卒中危险因素认知情况,为该地区缺血性脑卒中健康教育提供依据,进而有效预防缺血性脑卒中发生。方法选取2017年1月至2018年9月淡澳地区收治且符合纳入标准与排除标准的120例缺血性脑卒中患者,通过临床体检、健康问卷、电话随访等多元化方式获取患者的相关资料,掌握不同患者对脑卒中危险因素认知情况。结果脑卒中患者中,高血压患者82例(68. 33%)、心脏病患者46例(38. 335)、糖尿病患者55例(45. 83%)、高血脂患者48例(40. 00%)、吸烟史48例(40. 00%)、饮酒史38例(31. 67%);合并两种疾病患者24例(20. 00%)、合并三种疾病患者12例(10. 00%)。多因素logistic回归分析显示高血压、心脏病、高血脂、高血糖为脑卒中的危险因素。在危险因素认知良好率方面:高血压65. 00%、心脏病40. 00%、糖尿病43. 33%、高血脂41. 67%。在不同危险因素认知良好率方面,城市人群高于农村或者乡镇地区;接受健康教育人群高于未接受健康教育人群;中度程度患者大于轻度患者,上述相关指标差异对比具有统计学意义(P<0. 05)。总体脑卒中危险因素认知良好率一般。结论淡澳地区缺血性脑卒中患者脑卒中危险因素认知情况普遍较低,需要进一步加强淡澳地区缺血性脑卒中患者以及高危人群的健康教育,便于通过早期干预降低脑卒中发病率,最大程度提高脑卒中高危人群生活质量与生存质量。
Objective To investigate the cognition of stroke risk factors in patients with ischemic stroke in Tam ao area,and to provide evidence for health education on ischemic stroke in this area,so as to effectively prevent the occurrence of ischemic stroke.Methods From January 2017 to September 2018,120 patients with ischemic stroke who met the inclusion criteria and exclusion criteria in Tam ao area were selected.The related data were obtained by clinical physical examination,health questionnaire,telephone follow-up and so on.The cognition of risk factors of stroke among different patients was mastered.Results Among the stroke patients,82(68.33%)had hypertension,46(38.335%)had heart disease,55(45.83%)had diabetes mellitus,48(40.00%)had hyperlipidemia,48(40.00%)had smoking history,38(31.67%)had drinking history,24(20.00%)had two diseases,and 12.67%had three diseases.Example(10%).Multivariate logistic regression analysis showed that hypertension,heart disease,hyperlipidemia and hyperglycemia were risk factors for stroke.In the aspect of risk factors cognition,hypertension 65.00%,heart disease 40.00%,diabetes 43.33%,hyperlipidemia 41.67%.In different risk factors,the urban population was higher than the rural or township areas;the population receiving health education was higher than the non-health education group;the moderate patients were higher than the mild patients,the correlation between the above indicators was statistically significant(P<0.05).The overall risk factors for stroke were generally well recognized.Conclusion The cognition of stroke risk factors in patients with ischemic stroke in Tam ao area is generally low.It is necessary to further strengthen the health education of patients with ischemic stroke and high-risk population in Tam'ao area,so as to reduce the incidence of stroke by early intervention and improve the quality of life and survival of high-risk population.quality.
作者
罗选才
潭力夫
王霞
Luo Xuancai;Tan Lifu;Wang Xia(Department of Neurology,Huiyang Hospital Affiliated to Southern Medical University,Huizhou 516211 China)
出处
《锦州医科大学学报》
CAS
2019年第2期100-103,共4页
Journal of Jinzhou Medical University
基金
广东省惠州市科技计划项目
项目编号:20170401
关键词
淡澳地区
缺血性脑卒中
危险因素
认知情况
调查分析
light Australian region
ischemic stroke
risk factors
cognition
investigation and analysis
