摘要
目的分析孝感地区脑卒中高危人群筛查情况。方法选定本地区40岁以上的常年居住居民2 000例,研究时间段从2015年5月—2018年5月,通过实验室检查、体格检查、问卷调查的方式,对脑卒中高危人群进行评估,对于筛查出来的脑卒中高危人群患者进行脑颈部血管超声检查、同型半胱氨酸(Hcy)检查,分析并评估筛查结果。结果本次2 000例筛选对象中,1 008例低危人群,占50.40%;517例中危人群,占20.85%;475例高危人群,占23.75%。40～50岁者58例,占12.21%;50～60岁者137例,占28.84%;60～70岁者182例,占38.32%;70岁以上者98例,占20.63%。268例内膜增厚者,占56.42%;138例颈动脉斑块,占29.05%;69例颈动脉狭窄,占14.53%。Hcy在10μmol/L以下者138例,占29.05%;10～15μmol/L者147例,占30.95%;15μmol/L以上者190例,占40.00%。结论应该及早识别脑卒中高危人群的危险因素,及早采取积极、有效的措施,控制危险因素,增强人们的健康意识,最大限度控制脑卒中发展。
Objective To analyze the screening situation of high risk population of stroke in Xiaogan area.Methods2000cases of permanent residents aged40and above were selected from May2015to May2018,the high risk population of stroke was evaluated through laboratory examination,physical examination and questionnaire survey.The cerebral neck vascular ultrasound examination and homocysteine(Hcy)for the patients with high risk of stroke were examined,the results of the screening were analyzed and evaluated.Results Among the 2000 screening cases,1008cases were low risk,accounting for50.40%,517cases of middle risk population accounted for20.85%,475cases of high-risk groups,accounting for23.75%.58cases aged40~50,accounting for12.21%;137cases aged50~60,accounting for28.84%;182cases aged60~70,accounting for38.32%;98cases aged over70,accounting for20.63%.There were268cases of intimal thickening(56.42%),138cases of carotid plaque(29.05%)and69cases of carotid stenosis(14.53%).Hcy was less than10μmol/L in138cases(29.05%),10~15μmol/L in147cases(30.95%),and over15μmol/L in190cases,accounting for40.00%.Conclusion Early identification of risk factors of high risk population of stroke,take active and effective measures early,control risk factors,enhance people's health awareness,and control the development of stroke to the maximum limit.
作者
刘芳
LIU Fang(Department of Health Management,Xiaogan Central Hospital,Xiaogan Hubei 432100,China)
出处
《中国继续医学教育》
2019年第1期60-62,共3页
China Continuing Medical Education
关键词
孝感地区
脑卒中
高危人群
颈部血管超声
同型半胱氨酸
筛查情况
Xiaogan area
stroke
high risk population
neck vascular ultrasound
homocysteine
screening situation
