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目的调查武汉城区脑血栓形成二级预防危险因素的知晓率、治疗率以及控制率的现状。方法采取整群抽样方法收集了2008年12月～2009年2月武汉钢铁公司参加体检的离退休职工1716例,从中筛选出128例脑血栓形成患者作为调查对象。回顾性调查其基本情况、生活习惯、既往史和服药史。记录调查对象的体检结果,包括血压、血脂和空腹血糖等。结果纳入调查对象的脑血栓形成患者平均年龄(67.1±7.99)岁。有吸烟史者共52例,已戒烟者21例(40.38%);有饮酒史者共40例,已戒酒者24例(60%);超重者46.09%,肥胖者12.5%;从不运动者22.66%,偶尔运动者39.06%;高血压病的知晓率为83.62%,治疗率74.14%,控制率为27.59%;血脂异常的知晓率为40%,治疗率1.43%,控制率为18.57%;糖尿病的知晓率为43.4%,治疗率28.3%,控制率为37.74%。结论武汉城区脑血栓形成二级预防问题多,危险因素控制率低,特别血脂异常的知晓率、治疗率及控制率低。二级预防工作的任务仍十分艰巨。
Objective To investigate the status of awareness, rate of treatment and control rate of secondary prevention of cerebral thrombosis in Wuhan urban area. Methods A total of 1716 retired staff from Wuhan Iron and Steel Company participated in the physical examination from December 2008 to February 2009 were collected by cluster sampling method and 128 patients with cerebral thrombosis were screened out. Retrospective survey of its basic information, living habits, past history and medication history. Record the physical examination results, including blood pressure, blood lipids and fasting blood glucose. Results The mean age of patients with cerebral thrombosis included in the study (67.1 ± 7.99 years). A total of 52 cases of smoking history, 21 cases of smoking cessation (40.38%); a history of drinking a total of 40 cases, abstainers had 24 cases (60%); overweight 46.09%, obese 12.5%; never exercise Were 22.66% and 39.06% respectively. The awareness rate of hypertension was 83.62%, the treatment rate was 74.14%, the control rate was 27.59%, the awareness rate of dyslipidemia was 40%, the treatment rate was 1.43% and the control rate was 18.57% The awareness rate of diabetes was 43.4%, the treatment rate was 28.3%, and the control rate was 37.74%. Conclusion There are many secondary prevention problems of cerebral thrombosis in Wuhan city, and the control rate of risk factors is low. The awareness rate, treatment rate and control rate of special dyslipidemia are low. The task of secondary prevention is still very arduous.