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目的 探索预防脑梗死复发的医疗干预措施。方法 对我院住院的 32 4例脑梗死病人出院后进行随访跟踪 ,将病人分为对照组和治疗组 ;治疗组针对复发危险因素进行三方面预防复发的医疗干预 :(1)药物控制脑卒中的危险因素 ;(2 )改掉不良的生活习惯 ,坚持运动锻炼 ;(3)定期专科门诊复诊 ;对照组未进行预防复发的医疗干预 ,患者自我管理。结果 治疗组中脑梗死病人复发率为 :1～ 3年内 2 .8% ,3～ 5年内 13.6 % ;5～ 9年内 14.7% ;对照组 1～ 3年内 8.9% ,3～ 5年内 2 7.8% ,5～ 9年内 33.3%。两组差别明显(P <0 .0 1) ,有统计学意义。结论 对脑梗死病人的预防干预 ,使降低复发率有着积极意义。
Objective To explore medical interventions to prevent the recurrence of cerebral infarction. Methods 32 4 hospitalized patients with cerebral infarction in our hospital were followed up and were followed up. The patients were divided into control group and treatment group. The treatment group was given medical intervention in three aspects to prevent relapse: (1) drug-controlled stroke Risk factors; (2) to get rid of bad habits, insist on exercise; (3) regular specialist out-patient visits; control group did not prevent recurrence of medical interventions, self-management of patients. Results The recurrence rate of middle cerebral artery infarction in treatment group was 2.8% in 1-3 years, 13.6% in 3-5 years, 14.7% in 5-9 years, 8.9% in 1-3 years in control group, 7.88% in 3-5 years, , 33% in 5 ~ 9 years. The difference between the two groups was significant (P <0. 01), with statistical significance. Conclusion The preventive intervention for patients with cerebral infarction, reducing the recurrence rate has a positive meaning.