CAJ | 학술논문

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9631例，筛查出高危患者1786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。
목적：건립뇌졸중고위인군규범화사사모식，응용우뇌졸중고위인군진행사사여관리，병평개기초보응용효과。방법해과성립뇌졸중사사관리소조，건립규범화뇌졸중사사모식，재문진급사구인군중개전뇌졸중사사공작，대사사출적뇌졸중고위인군근거뇌졸중사사여간예지남실시위기1년적관공。결과공사사고위인군9631례，사사출고위환자1786례，고위환자솔위18．55％。대고위환자존재적고위인소실시간예，간예전、후고위환자혈당、혈압、혈지、비반지수、흡연、체육단련、합리음식등비교，차이유통계학의의（P＜0．05）。결론건립뇌졸중규범화사사모식，대뇌졸중고위인군진행전항관리시주호뇌졸중사사여관공공작적중요보장，가강저뇌졸중고위인군적위험인소。
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<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 .