Stroke risk factor screening of stroke incidence of high-risk groups and the impact of onset-to-door time
GU Jian-xiu1 LIU Zhen-zi1▲ JIANG Zhi-min1 LUO Qiu-lan2 LAN Gui-xiang3 LIU Hong-wen1
1.Department of Neurology, Ganzhou Municipal Hospital
2.Department of Neurosurgeon, Ganzhou Municipal Hospital
3.Department of Emergency,Ganzhou Municipal Hospital
Abstract： Objective To investigate the effect of screening and intervention of stroke risk factors on the incidence of stroke in high-risk population and onset-to-door time (ODT) through cross-sectional investigation. Methods From January 2019 to November 2019, the population sampling method was adopted in Ganzhou Municipal Hospital, and the 2 main risk factors and 8 general risk factors for stroke were applied in 12 natural villages around Zhanggong District of Ganzhou city to detect the high-risk population of stroke. The high-risk groups were further screened: blood pressure,blood glucose, blood lipid and carotid plaque were examined, and follow-up of 1, 3, 6, 9 and 12 months was recorded.The incidence and ODT of stroke high-risk population at 1, 3, 6, 9 and 12 months after intervention were observed. Results The detection rate of high-risk group was higher in male than female, and higher in the elderly than in the middle-aged, with statistical significance (P<0.05). Screening of high-risk population for stroke, detection of various risk factors and the cumulative incidence of stroke in high-risk population at 1, 3, 6, 9 and 12 months after intervention were 1.71%, 2.73%, 3.41%, 4.09% and 5.12%, respectively. The ODT of patients at high risk of stroke after screening,follow-up and intervention was shorter than that of patients admitted to hospital. Conclusion The incidence of stroke can be reduced by conducting repeated health education on the knowledge related to stroke among the high-risk population screened early in various forms. For the high-risk group with stroke related knowledge and health education,stroke can be correctly identified early, seek medical treatment as soon as possible, shorten the ODT time, so as to effectively reduce the incidence and disability rate of stroke patients, so that patients can return to their families and society.
古贱秀；刘贞仔；蒋志民；罗秋兰；兰桂香；刘宏文. 脑卒中危险因素筛查对脑卒中高危人群发病率及发病至入院时间的影响[J]. 中国当代医药, 2021, 28(16): 76-78.
GU Jian-xiu；LIU Zhen-zi；JIANG Zhi-min； LUO Qiu-lan；LAN Gui-xiang；LIU Hong-wen. Stroke risk factor screening of stroke incidence of high-risk groups and the impact of onset-to-door time. 中国当代医药, 2021, 28(16): 76-78.
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