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目的探讨预防脑卒中的危险因素在社区工作中的重要性。方法选取红桥区三条石街社区医院2011年1月-2015年12月60~65岁的高危人群100例进行随访,随机分成观察组与对照组,每组50例,观察组配合医生改变不良生活方式和(或)配合药物治疗,对照组继续保持原有的生活方式和(或)不坚持服药随访5年发生脑卒中情况的调查。结果观察组患者脑卒中发生率为4%,且未发生脑卒中患者的血脂水平明显低于对照组,颈动脉内膜的厚度也明显低于对照组,对照组脑卒中发生率为16%。且二者差异具有统计学意义(P<0.05)。结论积极配合脑卒中一级预防的患者比未配合者脑卒中一级预防的发生率明显减少,因此脑卒中一级预防在社区工作中非常重要,既能减少高危人群脑卒中的发病率又能提高该人群的生活质量。
Objective To explore the importance of prevention of stroke risk factors in community work. Methods A total of 100 high risk population from January 2011 to December 2015 in Sanzhushi Street Community Hospital of Hongqiao District from January 2011 to December 2015 were selected and randomly divided into observation group and control group with 50 cases in each group. Lifestyle and / or drug treatment, the control group continued to maintain the original lifestyle and / or did not insist on taking a 5-year follow-up survey of stroke. Results The incidence of stroke in the observation group was 4%. The level of serum lipids in the non-stroke patients was significantly lower than that in the control group. The carotid artery intima thickness was also significantly lower than that in the control group. The incidence of stroke in the control group was 16%. The differences between the two groups were statistically significant (P <0.05). Conclusions The incidence of primary prevention of stroke in active prevention of primary prevention of stroke is significantly lower than that of primary prevention of stroke. Therefore, primary prevention of stroke is very important in community work, which can reduce the incidence of stroke in high-risk population Improve the quality of life of the crowd.