社区综合干预对缺血性脑卒中复发的临床研究

选择2009年1月至2011年3月在上海某社区卫生服务中心治疗的120例初发脑卒中患者，随机分为干预组和对照组，各60例。干预组根据评估结果实施有针对性的预防卒中复发的综合康复措施，对照组实施常规治疗，分别在于预前和干预后1年收集两组相关资料进行评价。提示，干预组患者血压、血糖及血脂（LDL—C）均明显低于对照组（P〈0．05）；干预组患者遵医服药率（90％），坚持康复训练率（68％）及戒烟的概率（75％），均高于对照组（63％，18％，35％）（P〈0．05）。干预组脑卒中复发率（8％）、死亡率（7％），均低于对照组（35％，25％），两组比较差异均有统计学意义（P〈0．05）。

Effects of intervention on the prevention of ischemic stroke recurrence in a local community

A total of 120 patients with initial stroke at a community health service center in Shanghai from January＂ 2009 to March 2011 were divided randomly into intervention group （n = 60） and control group （n = 60 ）. Individual comprehensive rehabilitation was carried out based on the evaluations in the intervention group. Routine therapy was given to the patients in the control group. General data evaluations were conducted at pre-intervention and 1 year post-intervention respectively. The levels of blood pressure, blood glucose and blood lipid （LDL-C） were all lower in the intervention group than those in the control group （ P 〈 0. 05 ）. The rates of proper behavior were all higher in the intervention group than those in the control group （ P 〈 0. 05 ）. And the rates of recurrence and mortality were lower in the intervention group than those in the control group （P 〈 0. 05 ）.