卒中高危人群筛选与干预策略——上海市南汇区70万人群卒中预防试点讨论分析

A Strategy for Screening High Risk Population and Intervention of Stroke——Analysis of 700 Thousand People in Nanhui County of Shanghai City

卒中“高危人群筛选与干预策略”是大众预防策略和高危预防策略的结合,在上海市70万人群试点预防中取得良好效果。筛选手段分年龄、危险因素暴露水平和临床实验室检查3个层面,干预措施包括健康教育、危险因素控制和药物重点预防3个层面。试点预防证实,脑血管血流动力学检测应用于高危人群筛检具有良好的效能,脑安胶囊作为重点干预药物具有良好的效果。提高医师的预防意识,在卒中社区预防和临床预防中按层次筛选高危人群,实施科学的预防方案,对于提高预防卒中效果具有重要意义。

High risk population screening and intervention strategy of stroke was a combination of popular and high risk prevention. It had achieved a considerable effect for 700 thousand people in Nanhui county of Shanghai city. Screening measures included three strata of age, exposure of risk factors and clinical examination. Intervention measures included health education, control of risk factors and stressed medical prevention. The trial prevention in Nanhui county indicated that cerebral vascular hemodynamic examination was a sensitive measure for screening high risk population. Nao＇an Capsule was effective for preventing stroke. It is important that to enhance preventive consciousness of physicians, to select rational screening measures both in community prevention and clinical prevention, and to implement a scientific prevention project.