上海市某社区脑卒中早期信息化预警筛查分析

Early Warning and Information System of Stroke Screening in One Community in Shanghai

目的运用脑卒中早期预警信息系统在社区人群中进行脑卒中高危人群的筛查,以便于在此基础上全面开展相应人群有针对性的健康教育工作。方法运用脑卒中早期预警信息系统(ABCD2评分表),对35岁以上的首诊居民进行一次脑卒中早期预警测评,分出高危、中危、低危人群。对不同人群进行登记和随访,监测其发生脑卒中的概率。结果利用脑卒中早期预警系统对2011年10~12月份就诊的患者进行筛查,其中脑卒中患者为417人,无脑卒中者为5,881人。通过ABCD2评分法对无卒中史的患者进行评分,数据分析结果显示为低危组(≤3分)的为5,611人,中危组(4~5分)为143人,高危组(6~7分)为127人。结论此软件通过医生工作站对辖区内居民进行筛查和评分,通过危险因素分层对中、高危人群进行早期预警,可做到早发现、早治疗。同时,应对不同人群分别开展相应的转诊、治疗及健康教育指导等干预。

Objective To carry out stroke screening with the use of early warning and information system among the high-risk group of stroke in communities, so as to provide a basis for health education on the target population. Methods By the ABCD2 rating scale, a survey was conducted on the outpatients above 35 years old who went to hospital for the first time so as to distinguish high-, medium-and low-risk groups of stroke. Different groups were registered and follow-up visit was paid as well in order to monitor the incidence of stroke. Results Among the outpatients from October to December 2011, 417 had been struck by stroke while 5,881 hadn’t. The analysis on the data obtained by the ABCDs rating scale indicated that 5,611 outpatients belonged to low-risk group (≤3 scores), 143 to medium-risk group (4-5 scores) and 127 to high-risk group (6-7 scores). Conclusion The ABCD2 rating scale software performed well in rating and screening of stroke, with which doctors of the health service centers could issue early warning for the medium-and high-risk groups of people to receive early treatment and health intervention.