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篇名
基層醫療慢性期腦中風治療與預防成效探討
並列篇名
The Effects of Prevention and Treatment for Chronic Stroke in a Primary Care
作者 李玲玲徐少慧嚴嘉楓 (Chia-Feng Yen)
中文摘要
背景及目的:從1986至2010年之死因統計數據顯示我國腦中風持續名列十大死因之二、三位,亦為中老年人致殘及死亡的主要原因之一,腦中風後之醫療及生活照護支出往往成為沉重的社會成本,對於腦中風高風險者之預防及慢性期腦中風治療,基層醫療將可提供可近性更高的治療及照護介入。本研究目的為探討某基層醫療院所慢性期腦中風治療之效果,並評值相關治療對於三高族群(高血壓、高血糖及高血脂)預防發生腦中風之成效。方法:本研究以病歷回顧分析法進行,研究對象為某基層醫療院所2006年到2011年間接受治療之慢性期腦中風病人及三高族群預防腦中風者,共計2,664人,研究材料包含病人基本資料(匿名處理)、醫師治療紀錄及護理紀錄。結果:本研究結果顯示在控制干擾變項後,該治療方式次數愈多,慢性期腦中風病人之平均肌力改善愈顯著(p<0.05);預防組之腦中風發生率為0.8‰,遠低於一般中壯年及老年族群。結論:本研究結果可提供慢性期腦中風治療與預防整體成效評值之實證資料,並可供社區基層醫療院所腦中風治療之臨床參考依據。
英文摘要
Background: Stroke has been ranked as the second or third leading cause of death in Taiwan since 1986 and it has resulted in increased disability and mortality in the adult and older adult populations. Expenditures on medical care and activities of daily living for patients with strokes have increased dramatically. Previous studies have focused on the effects of stroke treatment during the acute phase while relatively few studies have examined the effects of stroke treatment during the chronic phase on recovery. Objectives: This study investigated the effects of the primary care treatment of patients in the chronic phase of strokes. The effects of preventive treatment on the prevention of strokes among patients with syndrome of high blood pressure, hyperlipidemia, and high blood sugar (i.e. ”three heights”) were also examined. Methods: A retrospective design was used and data were collected from a total of 2,664 medical records of both stroke patients (treatment group) and patients with a high risk of developing a stroke (prevention group) treated in one primary care clinic in Taiwan. Results: After controlling for confounders, we found that, with increased treatment time, muscle power could be improved significantly (p<0.05). The incidence of stroke in the prevention group was 0.8‰ which was much lower than that in the non-treated high risk groups who were more likely to develop cerebrovascular disease. Conclusions: Results of the present study provided evidence-based support for the effects of prolonged treatment of chronic stroke in the improvement of muscle power and the treatment of high risk groups in lowering the incidence of strokes.
起訖頁 165-176
關鍵詞 high blood pressurehigh blood sugarhyperlipidemiamuscle powerprevention
刊名 台灣家庭醫學雜誌  
期數 201212 (22:4期)
出版單位 台灣家庭醫學醫學會
該期刊-下一篇 胃息肉:大腸息肉之一危險因子
 

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