摘要
目的针对社区就诊缺血性脑卒中患者的危险因素及其用药情况进行调查分析,为社区预防脑卒中的发生提供指导。方法筛选2012年1月—2014年12月在上海市浦东新区江镇社区卫生服务中心就诊的623例缺血性脑卒中患者作为调查组,130例因感冒、外伤到本院就诊的患者作为对照组,对此进行调查问卷,并进行相关统计分析。结果脑卒中患者的危险因素包括运动量、SBP、DBP、高血压病史、糖尿病病史、LDL-C、FPG;发现降压药物使用以及抗栓治疗的患者分别达到72.71%、79.94%;但他汀药物的治疗只有32.27%;在社区卫生服务中心使用中成药的患者达60.67%;15.73%的患者由于各种原因不使用任何药物。对脑卒中复发率进行相关统计分析发现,降压药物、降脂药物和抗栓药物的使用与否均能影响卒中的复发,差异有统计学意义(P<0.05);尤其是他汀药物,显著影响卒中的复发概率(P<0.001);而中成药的使用与否对于脑卒中的复发例数无显著相关性(P<0.05);结论社区高血压、糖尿病患者以及运动量减少、血脂水平异常的患者要注意脑卒中的发生。针对社区就诊缺血性脑卒中患者,提高ASA三大基石的用药非常必要,他汀类药物有助于减少脑卒中患者的再次复发。
OBJECTIVETo analyze of risk factors and drug use of stroke in community so as to provide guidence for preventing theoccurence of stroke. METHODS The case control study consecutively recruited patients with stroke（n=623）,and the non-stroke（n=130） as control group, then carried out the questionnaires and the relevant statistical analysis. RESULTS The stroke was closely associ-ated with sports, high blood pressure, hypertension, DM, LDL-C and FPG. It found that the antihypertensive drug use and anti throm-bus treatment were 72.71% and 79.94%, but the treatment of statins was only 32.27%; the patients in the community use of Chinesemedicine reached 60.67%; there were also 15.73% due to various reasons not to use any drug. The correlation statistical analysisshowed that the use of antihypertensive drugs, cholesterol lowering drugs, anti thrombus drugs and anti thrombus drugs had significanteffects on the number of patients with recurrence of stroke and had statistical significance（P0.05）; especially the effect of statins sig-nificantly affected the recurrence rate of stroke（P〈0.001）; CONCLUSION In patients with hypertension diabetes and exercise, espe-cially in patients with abnormal blood lipid levels,who should pay attention to the occurrence of stroke. It was necessary for the com-munity to increase the use of ASA, especially in the use of statins, whichs very important to reduce the recurrence of stroke
出处
《中国初级卫生保健》
2016年第3期25-27,共3页
Chinese Primary Health Care
