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目的:建立乡镇脑卒中高危人群筛查和干预一体化。方法:1医护人员的培训;2做好脑卒中筛查前的宣传工作;3填表、筛查;4反馈、干预;5网报。结果:乡镇筛查40岁以上辖区常住户1602人,其中,男705人,女897人,男女比例0.79。脑卒中患病人数32人,患病率2%;脑卒中患病率性别统计:男20人,患病率2.84%;女12人,患病率1.34%。TIA患病人数71人,患病率4.43%;男15人,患病率2.13%;女56人,患病率6.24%。高危患病人数197人,患病率18.73%。结论:建立了三甲医院为主体,二甲医院乡镇医疗服务联动的脑卒中高危人群筛查和干预一体化模式;乡镇脑卒中筛查有效的管理和科学干预,促进健康的生活方式与习惯,完善健康保护体系,减少脑卒中的发病率,提高乡镇群众的整体健康水平。筛查与干预使乡镇群众、医院、国家三者都受益。
Objective: To establish a screening and interventional integration of high risk population of stroke in villages and towns. Methods: 1 training of medical staff; 2 to do publicity work before screening of stroke; 3 to fill in form and screen; 4 to feedback and intervention; Results: The township screening 1602 permanent residents over the age of 40, including 705 males and 897 females, with a ratio of 0.79. The number of stroke patients 32, the prevalence of 2%; prevalence of stroke gender statistics: 20 males, the prevalence rate of 2.84%; 12 females, the prevalence of 1.34%. TIA prevalence of 71 patients, the prevalence of 4.43%; 15 males, the prevalence of 2.13%; 56 females, the prevalence of 6.24%. The number of high-risk patients 197 people, the prevalence rate of 18.73%. Conclusion: The three hospitals as the main body, the Second Hospital of township medical service linkage stroke at risk of high risk population screening and intervention integration model; township stroke screening effective management and scientific intervention to promote healthy lifestyles and habits, improve Health protection system to reduce the incidence of stroke and improve the overall health of the township masses. Screening and intervention benefit the township and town people, hospitals and the nation.