北京市门头沟区首次缺血性脑卒中患者二级预防的调查

Research on secondary prevention of patients with first ischemic stroke in Mentougou district of Beijing

目的分析北京市门头沟区首次缺血性脑卒中二级预防现状。方法 2010年6月～2012年6月我科入院诊治的首次脑卒中患者309例,全部经CT/MRI检查证实。出院诊断为缺血性脑卒中,并告知患者二级预防的相关知识。第3个月电话随访出院后脑卒中二级预防的状况,并再次宣教,第6个月再次电话随访二级预防情况。结果第3个月、6个月随访人数分别为309、302例。第3个月、6个月抗血小板治疗比例为91.3%、96.0%;降压药物治疗比例分别为86.0%、91.6%;血糖控制<7.0mmol/L比例分别为47.3%、63.2%;他汀类药物治疗比例分别为65.4%、65.6%;定期输液比例分别为60.2%、35.1%。结论门头沟区缺血性脑卒中患者对二级预防有了一定的认识,但仍需医生进一步加强宣教,以提高患者的依从性,降低脑卒中的复发率。

Objective To analyze the secondary prevention status of the first ischemic stroke in Mentougou district of Beijing. Methods There were 309 patients who suffered the first isehemic stroke from Jun 2010 to Jun 2012. The illness of all patients had been confirmed by CT/MRI. Discharge diagnosis for ischemie stroke, and informed patient secondary prevention knowledge. The 3rd month telephone followup discharge ischemic stroke secondary prevention status, and again mission, 6 months followup telephone again secondary prevention situation. Results 3 months, 6 months followup number situation respectively for 309 and 302 cases. 3 months, 6 months antiplatelet therapy proportion were 91.3% and 96.0%, antihypertensive drug therapy ratio were 86.0% and 91.6%, blood sugar control 〈7.0mmol/L ratio were 47.3% and 63.2%, statin treatment ratio were 65.4% and 65.6%, regular infusion were 60.2% and 35.1%. Conclusion Ischaemie stroke patients in Mentougou dis trict have known secondary prevention for certain understanding, but still need doctor to further strengthen the propaganda and education, in order to improve patient compliance, reduce the recurrence of stroke.