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目的通过评价医生入社区行脑卒中危险因素筛查、健康指导的效果,探索有效的脑卒中防控模式。方法连续2年入社区,对任丘市4 412例60~70岁常驻居民进行现场问卷、体格检查、实验室检查等,发放体检报告给予健康指导,通过比较脑卒中相关危险因素改善情况,分析评价此脑卒中防控模式的效果。结果 4 412例居民中存在卒中相关危险因素者4 289例(97.2%),干预后达标者228例(5.2%)。Logistic二元回归分析显示,干预有效性与性别、脑卒中/TIA史、吸烟、肥胖呈负相关,与外周血管病史、缺乏体力运动、收缩压(SBP)、血糖(GLUC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)呈正相关(P<0.05)。结论针对老年人群每年一次入社区进行筛查和干预,对脑卒中危险因素控制有一定效果。为改善我市脑卒中防控现状提供了一条途径。
Objective To evaluate the effect of screening physicians on stroke risk factors and health guidance into community and explore effective prevention and control of stroke. Methods Two years into the community, on-site questionnaires, physical examination and laboratory tests were conducted on 4 412 permanent residents aged 60-70 years in Renqiu City. Physical examination reports were given for health guidance. By comparing the risk factors of stroke, Analysis of the effectiveness of this stroke prevention and control model. Results Among the 4 412 residents, 4 289 (97.2%) had stroke-related risk factors, and 228 (5.2%) reached the target after intervention. Logistic regression analysis showed that the effectiveness of intervention was negatively correlated with sex, stroke / TIA history, smoking, obesity, peripheral vascular disease, lack of exercise, systolic blood pressure (SBP), blood glucose (GLUC), triglyceride TG) and low density lipoprotein cholesterol (LDL-C) were positively correlated (P <0.05). Conclusions Screening and intervention for the elderly to enter the community once a year have some effect on the control of risk factors of stroke. To improve the city’s stroke prevention and control of the status quo provides a way.