Analysis of the Epidemiological Characteristics of Post-stroke Complications and Suggestions for the Optimization of Grass-roots management in Grass-roots Management System

doi:10.12114/j.issn.1007-9572.2021.00.420

Abstract

Abstract: Stroke is the leading cause of death among Chinese residents，with the improvement of hospital treatment level，the number of stroke survivors returning to the community is also increasing.This has greatly increased the demand for primary community health services，but also brought great challenges to the grassroots community health services.This article discusses the risk factors of stroke survivors in the community and the epidemiological characteristics of post-stroke complications，the grass-roots management plan after stroke recommended based on evidence or expert consensus，and how to establish and optimize the grass-roots management system after stroke，which aims to improve existing general medical services and provide suggestions and references for building a coordinated grassroots post-stroke management service system.

Key words: Stroke, Epidemiology, Secondary prevention, Management, Treatment, Rehabilitation, General practice, General practitioners

摘要： 脑卒中位居我国居民各种死亡的首位，随着医院救治水平的提高，回归社区的脑卒中患者也不断增多，这极大增加了基层社区卫生服务需求，也给基层社区卫生服务带来巨大的挑战。本文通过结合回归社区存活脑卒中患者的危险因素和脑卒中后并发症的流行特征、基于证据和专家共识推荐的脑卒中后基层管理方案以及如何建立和优化脑卒中后的基层管理体系三方面内容，探讨如何完善现有的全科医疗服务，以为构建协同的基层脑卒中后管理服务体系提供建议和参考。

关键词: 脑卒中, 流行病学, 二级预防, 管理, 治疗, 康复, 全科医疗, 全科医生

JIANG Bin. Analysis of the Epidemiological Characteristics of Post-stroke Complications and Suggestions for the Optimization of Grass-roots management in Grass-roots Management System　[J]. Chinese General Practice, 2021, 24(12): 1445-1453. DOI: 10.12114/j.issn.1007-9572.2021.00.420.
江滨. 脑卒中后并发症流行特征分析及对基层管理优化建议[J]. 中国全科医学, 2021, 24(12): 1445-1453. DOI: 10.12114/j.issn.1007-9572.2021.00.420.

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