中华脑血管病杂志（电子版）
中華腦血管病雜誌（電子版）
중화뇌혈관병잡지（전자판）
CHINESE JOURNAL OF CEREBROVASCULAR DISEASES(ELECTRONIC VERSION)
2012年
2期
16-18
,共3页
缺血性卒中%二级预防
缺血性卒中%二級預防
결혈성졸중%이급예방
Ischemic stroke%Secondary prevention
目的 分析重庆南部地区缺血性脑卒中二级预防现状.方法 通过软件抽样,了解10个街道和乡镇,2009年5月至2010年12月首次脑卒中,在重庆南部地区二级以上医疗机构住院,全部经CT/MRI证实,出院诊断为缺血性脑卒中的患者,回顾其治疗经过,了解其出院后对脑卒中危险因素知晓率、用药情况.结果 (1)出院1个月的患者,对危险因素知晓率明显高于随后的调查,随时间推移,患者知晓率有下降的趋势.但是患者对血糖、血脂、心脏病始终保持在比较恒定的知晓水平.而对血压、体重控制、戒烟限酒等生活习惯方面,知晓率有较大起伏.(2)特异药物选择比较随意,特别中成药、扩管药物、神经保护的大量使用,一方面使患者医疗费用耗费巨大,经济难以为继；另一方面患者对二级预防抓不住重点,使二级预防效果大打折扣；再者患者服药情况也不理想.结论 患者对脑血管危险因素知晓率有待提高,用药有待规范.本次调查结果显示重庆南部地区二级预防工作非常严峻.
目的 分析重慶南部地區缺血性腦卒中二級預防現狀.方法 通過軟件抽樣,瞭解10箇街道和鄉鎮,2009年5月至2010年12月首次腦卒中,在重慶南部地區二級以上醫療機構住院,全部經CT/MRI證實,齣院診斷為缺血性腦卒中的患者,迴顧其治療經過,瞭解其齣院後對腦卒中危險因素知曉率、用藥情況.結果 (1)齣院1箇月的患者,對危險因素知曉率明顯高于隨後的調查,隨時間推移,患者知曉率有下降的趨勢.但是患者對血糖、血脂、心髒病始終保持在比較恆定的知曉水平.而對血壓、體重控製、戒煙限酒等生活習慣方麵,知曉率有較大起伏.(2)特異藥物選擇比較隨意,特彆中成藥、擴管藥物、神經保護的大量使用,一方麵使患者醫療費用耗費巨大,經濟難以為繼；另一方麵患者對二級預防抓不住重點,使二級預防效果大打摺釦；再者患者服藥情況也不理想.結論 患者對腦血管危險因素知曉率有待提高,用藥有待規範.本次調查結果顯示重慶南部地區二級預防工作非常嚴峻.
목적 분석중경남부지구결혈성뇌졸중이급예방현상.방법 통과연건추양,료해10개가도화향진,2009년5월지2010년12월수차뇌졸중,재중경남부지구이급이상의료궤구주원,전부경CT/MRI증실,출원진단위결혈성뇌졸중적환자,회고기치료경과,료해기출원후대뇌졸중위험인소지효솔、용약정황.결과 (1)출원1개월적환자,대위험인소지효솔명현고우수후적조사,수시간추이,환자지효솔유하강적추세.단시환자대혈당、혈지、심장병시종보지재비교항정적지효수평.이대혈압、체중공제、계연한주등생활습관방면,지효솔유교대기복.(2)특이약물선택비교수의,특별중성약、확관약물、신경보호적대량사용,일방면사환자의료비용모비거대,경제난이위계；령일방면환자대이급예방조불주중점,사이급예방효과대타절구；재자환자복약정황야불이상.결론 환자대뇌혈관위험인소지효솔유대제고,용약유대규범.본차조사결과현시중경남부지구이급예방공작비상엄준.
Objective To analyze the secondary prevention situation of isehemic stroke in the soutbern of Chongqing.Methods Sample investigation software is adopted to review the medical treatment experience,make a survey of knowing status and drng therapy of patients who suffer the iscbemic stroke from May 2009 to Dec 2010 with confirmed diagnose as iscbemic stroke through CT/MRI.Results ( 1) The awareness rate of risk factors of patients who discharge 1month from hospital was higher than the patients who discharged hospital more than 1month.The awareness rate was getting lower over time.However,the awareness rate for certain indexes,such as blood sugar,blood pressure and heart disease kept constant; the awareness rate for living habits,such as giving up smoking and drinking,were fluctuated.(2)Medicine mistaking especially for Chinese traditional patent medicine,vessels expanding and neuro-protection,may cause two negative consequences:①It may increase the treatment cost of patients.②It will impact the effectiveness of secondary prevention because patients cannot hold the key point of secondary prevention.③Patients cannot receive effective medicine.Conclusions The awareness rate risk factors need to be raised and the medicine therapy need to be improved.The secondary prevention situation in the southern of Chongqing faces server challenge.
