论文部分内容阅读
目的:探讨定期社区随访对缺血性脑卒中患者二级预防效果的影响。方法:纳入干预组、对照组各150例、300例脑卒中患者,干预组进行每月一次随访干预,对照组不进行随访干预,两组分别于纳入病例第6个月、第12个月、第18个月收集资料,进行危险因素控制率、服药依从性、认识功能、脑卒中复发率等指标的比较。结果:干预后第12个月,干预组较对照组智力不正常比例下降11.4%,血压、血糖、血脂控制率分别上升12.0%、12.3%和15.0%,降压药、降糖药、降脂药和抗栓药的正确使用率分别上升10.4%、15.7%、10.5%和16.9%。干预组干预后第6个月、第12个月、第18个月的复发率分别为3.3%、4.7%和6.7%,低于对照组各时段的复发率。结论:对缺血性脑卒中患者进行社区定期随访,是充分实施卒中二级预防的有效措施之一。
Objective: To investigate the effect of regular community follow-up on secondary prevention in patients with ischemic stroke. Methods: One hundred and fifty-one patients in the control group and 300 patients in the stroke group were enrolled in the intervention group. The intervention group did not follow-up intervention. The two groups were included in the sixth month, the twelfth month, Data were collected on the 18th month to compare risk control rate, medication compliance, cognitive function, and stroke recurrence rate. Results: At the 12th month after intervention, the proportion of abnormal intelligence in the intervention group decreased by 11.4% and the blood pressure, blood glucose and blood lipid control rates increased by 12.0%, 12.3% and 15.0% respectively. Antihypertensive drugs, hypoglycemic drugs, Correct use of drugs and antithrombotics increased by 10.4%, 15.7%, 10.5% and 16.9% respectively. The recurrence rates in the intervention group at the 6th month, the 12th month and the 18th month after intervention were 3.3%, 4.7% and 6.7%, respectively, which were lower than those in the control group. Conclusion: Regular community follow-up of ischemic stroke patients is one of the effective measures to fully implement secondary prevention of stroke.