普洱市常住民脑卒中高危人群干预管理研究

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英文篇名：Correlation Analysis of Cerebral Vascular Function Score in High-risk Groups in Pu’er City 作者：邢承智 ; 刘少勇 ; 罗壮英 ; 王恒业 ; 张仕和 ; 魏贤文 英文作者：XING Chengzhi;LIU Shaoyong;LUO Zhuangying;Department of Neurology,Pu'er Municipal People's Hospital; 关键词：卒中高危人群 ; 脑血管功能评分 ; 干预 ; 卒中风险 英文关键词：High risk group;;CVHI;;Intervention;;Stroke risk 中文刊名：YXLL 英文刊名：The Journal of Medical Theory and Practice 机构：云南省普洱市人民医院神经内科; 出版日期：2019-05-25 出版单位：医学理论与实践 年：2019 期：v.32 基金：2012年国家“十二五”科技支撑计划课题(2011BAI08B01) 语种：中文; 页：YXLL201910005 页数：3 CN：10 ISSN：13-1122/R 分类号：16-18

摘要

目的:分析和评估我院脑血管功能积分的干预结果相关性研究。方法:筛选我院2013—2018年间门诊、住院部就诊人群进行脑血管血液动力学指标(CVHI)检测。以低于75分作为高危人群脑血管功能评估上限,给予生活方式干预、危险因素干预、药物治疗性干预、颈动脉治疗等干预方式,比较干预前后的脑血管功能积分变化情况。结果:干预前和干预后的脑血管功能积分值平均值分别为38.2±19.2和48.2±25.4,干预后脑血管功能积分平均值显著上升(t=14.575,P<0.01)。干预后脑血管功能积分值低分的比例减少,高分的比例上升,有19.8%的患者脑血管功能积分值上升至75分以上。结论:经过规范的干预,高危个体的脑血管功能明显改善,脑卒中发病风险显著降低。
        Objective:To analyze and evaluate the correlation between intervention results of high-risk groups of cerebrovascular function scores in our hospital.Methods:The Cerebrovascular Hemodynamic Index(CVHI) was detected in the outpatients and inpatient departments from 2013 to 2018. The upper limit of cerebrovascular function assessment in high-risk groups was less than 75 points. All the people were given lifestyle education interventions, interventions for high risk factors,medical treatment and carotid surgery.The CVHI differences between pre-intervention and post-intervention were compared.Results:The mean change of cerebrovascular function score between the pre-intervention group and post-intervention group was 38.2±19.2 VS 48.2±25.4.The difference between the two groups was statistically significant(t=14.575,P<0.01).After the intervention, the proportion of the low score of cerebrovascular function score decreased, and the proportion of high score increased.In 19.8% of patients, the cerebrovascular function score rose to more than 75 points.Conclusion:After the standard intervention,the cerebral vascular function of the high-risk individuals was obviously improved and the risk of stroke was significantly reduced.

引文

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