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目的 了解农村基层医生脑卒中防治知识的掌握情况以及对脑卒中的临床处理能力.方法 2008 年6-7月在辽宁省建平县、大洼县、西丰县、阜蒙县、本溪县、庄河市的6个县级医院、179个乡卫生院、1 332个村卫生室中分别分层随机抽取47人、125人、666人,共计838名农村基层医生,采用闭卷笔试的方式对其进行脑卒中相关知识的调查.结果 有90.8%的医生掌握“脑卒中发生起最重要作用的因素是高血压”,74.9%的医生掌握高血压的诊断标准,32.9%的医生掌握糖尿病的诊断标准;分别有37.9%、36.8%的医生掌握急性脑卒中的降压指征和降压目标.不同学历、年龄、医院级别的医生对脑卒中相关知识的掌握情况间差异有统计学意义(P＜0.05).结论 农村基层医生的脑卒中相关知识掌握情况及处理能力较差,防治水平亟须提高.“,”Objective To estimate the knowledge level and clinical ability of prevention and control of cerebro-vascular diseases among physicians in grass-roots hospitals of rural areas.Methods Totally 838 physicians working at grass-roots hospitals form three different levels of county,town and village in six counties of Liaoning Province were enrolled. They were given an written examination on the relative knowledge of stroke. Results Some 90.8% of the physicians realized the “hypertension is the most important and independent risk factor of stroke”,74.9% and 32.9% knew the diagnosis criterion of hypertension and that of diabetes mellitus,respectively. Some 37.9% and 36.8% of the physicians learnt the indicator and goal of depressurization for acute stroke. There were significant differences in mastering the relative knowledge of strike among physicians with different educational levels,ages and working with different levels of hospitals.Conclusion The knowledge level and clinical ability of prevention and control of cerebro-vascular diseases of physicians working at grass-roots hospitals of rural areas are lower,which need to be improved.