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长期临床经验表明,一旦发生完全性中风,任何治疗对其死亡率、致残率的影响都很小。因此,人们逐渐认识到中风的有效预防是降低其发病率和死亡率最切实有效的措施。发现确定的中风的危险因素,并加以积极的干预性治疗,已成为中风预防最重要的步骤。本文报告对长春市朝阳区进行中风高危个体的普查结果。材料和方法我们于1990年9月对长春市朝阳区采取整群随机抽样方法。对框架25000人口中,1950年7月1日以前出生的40岁以上人群进行中风高危个体的普查。采取相对集中和挨户检查两种方法,详细询问病史、家族史、吸烟及饮酒史。体检包括身高、体重、血压,一般内科检查和神经系统专科检查。对有中风危险因素的个体即中风高危个体,进行实验室检查,包括血糖、红细胞比容、胆固醇、甘油三酯、低密度脂蛋白、极低密度脂蛋白。
Long-term clinical experience shows that any treatment has minimal impact on mortality and morbidity in the event of a complete stroke. Therefore, people are gradually realizing that effective prevention of stroke is the most effective and effective measure to reduce their morbidity and mortality. Identifying the identified risk factors for stroke and treating it aggressively has become the most important step in stroke prevention. This paper reports the census of individuals at high risk of stroke in Chaoyang District, Changchun. Materials and Methods We conducted a cluster random sampling method in Chaoyang District, Changchun City, in September 1990. Of the 25,000 people in the frame, censuses of individuals at risk of stroke at 40 years of age or older who were born before July 1, 1950 were conducted. Take a relatively concentrated and door-to-door inspection of two methods, detailed history, family history, smoking and drinking history. Physical examination includes height, weight, blood pressure, general medical examination and neurological specialist examination. Individuals with risk factors for stroke, individuals at high risk of stroke, undergo laboratory tests, including blood glucose, hematocrit, cholesterol, triglycerides, LDL, and LDL.