脑卒中高危人群规范化筛查模式的建立与应用

Establishment and elementary application of normative screening model in stroke risk group

目的建立脑卒中高危人群规范化筛查模式,应用于脑卒中高危人群进行筛查与管理,并评价其初步应用效果。方法该科成立脑卒中筛查管理小组,建立规范化脑卒中筛查模式,在门诊及社区人群中开展脑卒中筛查工作,对筛查出的脑卒中高危人群根据脑卒中筛查与干预指南实施为期1年的管控。结果共筛查高危人群9 631例,筛查出高危患者1 786例,高危患者率为18.55%。对高危患者存在的高危因素实施干预,干预前、后高危患者血糖、血压、血脂、肥胖指数、吸烟、体育锻炼、合理饮食等比较,差异有统计学意义(P<0.05)。结论建立脑卒中规范化筛查模式,对脑卒中高危人群进行专项管理是做好脑卒中筛查与管控工作的重要保障,可降低脑卒中高危人群的危险因素。

Objective To establish the normative screening model and apply it to screen and manage the stroke risk group ,and to observe its application effect .Methods The screening management team in our department was set up for establishing the norma-tive stroke screening model .Then the stroke screening works were carried out in the outpatient department and the community pop-ulation .The screened groups of stroke high risk were implemented the 1-year control according to the guidelines of stroke screening and intervention .Results 9 631 individuals of stroke risk were screened ,among them 1 786 high-risk patients were screened out with a rate of 18 .55% .The interventions on the risk factors existing in the high-risk patients were implemented .The comparison of blood glucose ,blood pressure ,blood fat ,fat index ,smoking ,physical exercise and reasonable diet before and after interventions in the high-risk patients showed statistically significant differences （P＆lt;0 .05） .Conclusion Establishment of the normative manage-ment model of stroke screening is the important guarantee to do a good job of stroke screening and control for high risk group ,and significantly decreases the risk factors for high risk group .