摘要
目的:探讨社区人群脑卒中高危因素及相关认知功能筛查。方法:选取2017年7月-2019年1月社区老年居民150例,选择面对面询问方式,对社区老年人实施脑卒中危险因素风险评估,了解患者初步认知障碍与情绪障碍情况。结果:导致66岁以上社区居民脑卒中疾病高危因素为脑卒中病史、高血压、糖尿病、血脂异常、瓣膜心脏病或房颤、体质过重与吸烟史。记忆障碍自评量表(AD8)评分超过2分32例,简易认知状态评价量表(MMSE)评估可能存在痴呆患者37例,表明认知障碍会随着脑卒中疾病严重程度逐渐加重。结论:通过对社区人群的调查发现,吸烟、糖尿病、高血压、缺乏运动与体重超标是导致脑卒中疾病主要危险因素,及时开展干预,可减少对患者认知能力的影响。
Objective:To explore the high risk factors of stroke and related cognitive function screening in community population.Methods:From July 2017 to January 2019,150 elderly residents in the community were selected.We chose face-to-face inquiry to carry out risk assessment of stroke risk factors for the elderly in the community,and to understand the preliminary cognitive and emotional disorders of the patients.Results:The high risk factors of stroke diseases in community residents over 66 years old were history of stroke,hypertension,diabetes,dyslipidemia,valvular heart disease or atrial fibrillation,overweight constitution and smoking history.There were 32 cases with AD8 score over 2,and 37 cases with dementia in MMSE,indicating that cognitive impairment would gradually increase with the severity of stroke.Conclusion:According to the survey of community population,smoking,diabetes,hypertension,lack of exercise and overweight are the main risk factors of stroke.Timely intervention can reduce the impact on cognitive ability of patients.
作者
李秀娜
Li Xiuna(Service Center of Ciqu Hospital of Tongzhou District,Beijing 101111)
出处
《中国社区医师》
2020年第21期186-187,共2页
Chinese Community Doctors
关键词
脑卒中
社区人群
高危因素
相关认知功能
筛查
Stroke
Community population
High risk factors
Related cognitive function
Screening
