甘肃省脑卒中患者对卒中及康复认知现状调查

目的了解脑卒中患者对卒中危险因素、早期症状、康复知识的认知情况。方法分层随机抽取甘肃省10 家不同级别医院1043 例神经内外科住院的脑卒中患者，采用自行设计的问卷进行调查。结果脑卒中患者对卒中各种危险因素中，知晓率最高的为高血压(61.55%)， 全部危险因素知晓率为6.42%； 防治方法中， 合理饮食知晓率最高(56.18%)， 其次为戒烟戒酒(52.92%)；早期症状中，偏侧肢体发麻知晓率最高(53.88%)，其次为头痛头晕(50.14%)，视物模糊、恶心呕吐、舌部发硬等症状的知晓率均低于30%；60%患者对康复相关知识完全不了解，22%不清楚是否需要康复治疗；无论家庭月收入高低，约80%脑卒中患者在治疗期间选择药物治疗，进行康复的比率不足30%。结论对脑卒中危险因素、早期症状、康复知识的普及应引起医务人员的高度重视，健康教育和康复知识的宣传需要进一步加强。

Survey of Knowledge about Stroke and Rehabilitation in Stroke Patients

Objective To investigate the knowledge of stroke risk factors,early symptoms,and rehabilitation in stroke patients.Methods 1043 cases with stroke were stratified randomly sampled from 10 hospitals at different levels in Gansu,and were surveyed with self-designed questionnaire.Results For risk factors for stroke,hypertension was the most aware(61.55%),6.42% knew all the factors.For the prevention and treatment,reasonable diet was the most aware(56.18%),followed with giving up smoking and drinking(52.92%).For the early symptoms,dysaesthesia of one side body was the most aware(53.88%),and then the headache and dizzy(50.14%).It was less than 30% to know the blurring,nausea and vomiting,and stiff tongue,etc.as the early symptoms.60% of the patients did not know any about the rehabilitation,22% did not know if rehabilitation be needed.80% of the patients with stroke chose medication regardless of family income,and rehabilitation was chosen less than 30%.Conclusion It is important to popularize the knowledge of risk factors,early symptoms,and rehabilitation of stroke.