卒中的社区管理（Community management of stroke）.docVIP

卒中的社区管理（Community management of stroke） Community management of stroke I. screening methods 1, through the design of survey forms, inquiry methods, access to general information about residents, health knowledge, health status, living environment, lifestyle, medical care and other information. 2, the health status of residents can be obtained through periodic health examination. 3, through outpatient visit, obtain relevant chronic disease information. Two, classification, hierarchical management 1, through screening, data analysis, collation, and community diagnosis. Community population can be divided into the general population, three groups with stroke risk factors and stroke patients. 2, classification management (1) for the general population, we can use such forms as dissemination of publicity materials, community billboards and health lectures to deliver health behaviors and messages to the general public. (2) intensive management should be carried out for high-risk stroke patients. Mainly for people over the age of 60, with hypertension, hypertension, diabetes, coronary heart disease, atrial fibrillation, cerebral arteriosclerosis, carotid artery stenosis groups respectively according to the related disease community comprehensive prevention and control management manual intervention, including non drug intervention and drug intervention. (3) for stroke patients with two levels of prevention. Active control of brain diseases and community rehabilitation guidance. Three. Referral indications (I) roll out 1 sudden appearance of the surface, upper limb and lower limbs numbness or weakness, especially in the side of the limb. Can be the whole body side, or a single upper limb or lower limb. 2 abrupt speech or difficulty in understanding, as of difficulty in expression or ambiguity of speech. 3, sudden occurrence of single or binocular visual impairment. 4 vertigo: sudden or persistent vertigo. 5 sudden difficulty in walking, clumsy gait, balance or coordination