普洱市常住民脑卒中高危人群干预管理研究

Correlation Analysis of Cerebral Vascular Function Score in High-risk Groups in Pu’er City

目的:分析和评估我院脑血管功能积分的干预结果相关性研究。方法:筛选我院2013—2018年间门诊、住院部就诊人群进行脑血管血液动力学指标(CVHI)检测。以低于75分作为高危人群脑血管功能评估上限,给予生活方式干预、危险因素干预、药物治疗性干预、颈动脉治疗等干预方式,比较干预前后的脑血管功能积分变化情况。结果:干预前和干预后的脑血管功能积分值平均值分别为38.2± 19.2和48.2±25.4,干预后脑血管功能积分平均值显著上升( t =14.575, P <0.01)。干预后脑血管功能积分值低分的比例减少,高分的比例上升,有19.8%的患者脑血管功能积分值上升至75分以上。结论:经过规范的干预,高危个体的脑血管功能明显改善,脑卒中发病风险显著降低。

Objective: To analyze and evaluate the correlation between intervention results of high-risk groups of cerebrovascular function scores in our hospital. Methods: The Cerebrovascular Hemodynamic Index (CVHI) was detected in the outpatients and inpatient departments from 2013 to 2018. The upper limit of cerebrovascular function assessment in high-risk groups was less than 75 points. All the people were given lifestyle education interventions, interventions for high risk factors,medical treatment and carotid surgery.The CVHI differences between pre-intervention and post-intervention were compared. Results: The mean change of cerebrovascular function score between the pre- intervention group and post-intervention group was 38.2±19.2 VS 48.2±25.4.The difference between the two groups was statistically significant ( t =14.575, P <0.01).After the intervention, the proportion of the low score of cerebrovascular function score decreased, and the proportion of high score increased.In 19.8% of patients, the cerebrovascular function score rose to more than 75 points. Conclusion: After the standard intervention,the cerebral vascular function of the high-risk individuals was obviously improved and the risk of stroke was significantly reduced.