中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
29期
105-107
,共3页
杨坤军%杨志强%陈跃龙%严江松
楊坤軍%楊誌彊%陳躍龍%嚴江鬆
양곤군%양지강%진약룡%엄강송
缺血性脑卒中%二级预防
缺血性腦卒中%二級預防
결혈성뇌졸중%이급예방
Ischemic stroke%Secondary prevention
目的：探讨龙海地区首次缺血性脑卒中患者二级预防现状。方法：选取2011年1月-2013年7月期间入住本院神经内科病房的386例首次缺血性脑卒中患者，全部经CT/MRI检查证实，出院后告知患者二级预防的相关知识，在第3、6个月时门诊、电话或上门随访患者的二级预防状况并进行宣教。结果：第3、6个月随访人数分别为370例、348例，抗血小板治疗比例为91.4%、85.6%；降压药物治疗比例为92.6%、89.7%；降血糖药物治疗比例为86.2%、81.4%；他汀类药物治疗比例为80.3%、61.8%；随着时间的推移有下降趋势，他汀类药物较明显。结论：龙海地区缺血性脑卒中患者对二级预防有一定的认识，但仍需医生进一步加强宣教，以提高患者用药的依从性及规范化，改良生活方式，降低缺血性脑卒中的复发率。
目的：探討龍海地區首次缺血性腦卒中患者二級預防現狀。方法：選取2011年1月-2013年7月期間入住本院神經內科病房的386例首次缺血性腦卒中患者，全部經CT/MRI檢查證實，齣院後告知患者二級預防的相關知識，在第3、6箇月時門診、電話或上門隨訪患者的二級預防狀況併進行宣教。結果：第3、6箇月隨訪人數分彆為370例、348例，抗血小闆治療比例為91.4%、85.6%；降壓藥物治療比例為92.6%、89.7%；降血糖藥物治療比例為86.2%、81.4%；他汀類藥物治療比例為80.3%、61.8%；隨著時間的推移有下降趨勢，他汀類藥物較明顯。結論：龍海地區缺血性腦卒中患者對二級預防有一定的認識，但仍需醫生進一步加彊宣教，以提高患者用藥的依從性及規範化，改良生活方式，降低缺血性腦卒中的複髮率。
목적：탐토룡해지구수차결혈성뇌졸중환자이급예방현상。방법：선취2011년1월-2013년7월기간입주본원신경내과병방적386례수차결혈성뇌졸중환자，전부경CT/MRI검사증실，출원후고지환자이급예방적상관지식，재제3、6개월시문진、전화혹상문수방환자적이급예방상황병진행선교。결과：제3、6개월수방인수분별위370례、348례，항혈소판치료비례위91.4%、85.6%；강압약물치료비례위92.6%、89.7%；강혈당약물치료비례위86.2%、81.4%；타정류약물치료비례위80.3%、61.8%；수착시간적추이유하강추세，타정류약물교명현。결론：룡해지구결혈성뇌졸중환자대이급예방유일정적인식，단잉수의생진일보가강선교，이제고환자용약적의종성급규범화，개량생활방식，강저결혈성뇌졸중적복발솔。
Objective:To investigate the secondary prevention status of patients with the first ischemic stroke in Longhai area.Method:386 patients who suffered the first ischemic stroke in the neurology ward of our hospital from January 2011 to July 2013 were selected,all patients had been confirmed by CT/MRI.After discharged,the secondary prevention knowledge was informed to patients.The third months and sixth months followed up secondary prevention status by outpatient service,telephone or home and again mission.Result:The number of third months,sixth months follow-up were respectively 370 and 348 cases,antiplatelet therapy proportion were 91.4% and 85.6%,antihypertensive drug therapy ratio were 92.6%and 89.7%,hypoglycemic drug therapy ratio were 86.2%and 81.4%,statin treatment ratio were 80.3%and 61.8%;with the passage of time has decreased,the statins significantly.Conclusion:Ischaemic stroke patients in Longhai area have known secondary prevention for certain understanding,but still need doctor to further strengthen the propaganda and education,in order to improve the compliance of patients with medication and standardization,improve the life style,reduce the recurrence of ischemic stroke.
