Exploring the new management mode of high-risk patients for high-risk stroke
Release date: 2016-03-29
Stroke is the first cause of disability in people over 60 years old in China. In order to integrate resources for prevention and treatment of cardiovascular and cerebrovascular diseases in various fields and explore new ways to prevent and treat chronic diseases in China, Shanghai is actively trying to adopt the “three-level prevention and control network + full-risk management of high-risk patients†model of stroke prevention and treatment base, and the practice effect is remarkable.
In recent years, chronic non-communicable diseases and infectious diseases have become a serious threat to the health of urban and rural residents in China, and the incidence of chronic diseases has shown a "blowout" situation. Dongfang.com reporter learned from the 8th East China Sea Carotid and Stroke Summit Forum and the National Carotid Surgery Expert Symposium held today that cerebrovascular disease ranked first in the national death cause survey and showed a trend of youthfulness. In 2015, the National Stroke Screening found that the high-risk rate of people aged 45 to 65 was nearly 20%, and the high-risk rate of people over 65 years old was over 35%.
According to Professor Yu Bo, member of the Standing Committee of the National Committee of the Stroke Prevention and Control Engineering Committee and the president of Shanghai Pudong Hospital, stroke is a group of acute cerebrovascular diseases with brain tissue ischemia and hemorrhagic injury as the main clinical manifestations. With high morbidity, high mortality, high morbidity, high recurrence rate and heavy economic burden, the incidence rate is increasing at a rate of nearly 9% per year.
"China's stroke mortality rate is 4-5 times that of European and American countries and 3.5 times that of Japan. In the past 20 years, the incidence of ischemic stroke in developed countries has decreased by 13%, mortality has decreased by 37%, and the incidence of stroke in China. However, it is rising at a rate of 8.7% per year, which is significantly higher than the world average.†Yu Bo said, “China has become one of the countries with the highest incidence of stroke in the world, with more than 2 million new strokes per year and deaths from stroke. More than 1.5 million."
According to reports, through years of construction, in the Pudong Hospital, the medical network service system consisting of three-level hospital-district secondary cooperative hospital-community hospital is becoming more and more mature, pre-hospital health education and high-risk screening + in-hospital high-risk screening and multidisciplinary joint The new concept of intervention + post-hospital follow-up management to reduce the incidence has also been promoted, and in recent years, the "three-level prevention and control network + high-risk patients full management" mode will seamlessly link the two, the effect is significant.
At the forum, Professor Yu Bo summarized the work of the whole country last year. He said that public hospitals have set up stroke prevention/screening clinics and entered the community to screen the high-risk populations of stroke, and the patients who need further examination after screening are transferred to the higher-level base hospitals. Related examinations, diagnosis and treatment, and then transferred back to the community to implement disease health management, the hospital implemented multi-disciplinary diagnosis and treatment of stroke, including neurosurgery, vascular surgery, ultrasound medicine, imaging, and other multidisciplinary team collaboration, through the brain The early intervention and full-time management of the professional team of stroke prevention and treatment, especially the increase of surgical intervention in high-risk patients, has better achieved the ideal living condition after surgery and contributed to the prevention and control of chronic diseases worldwide.
The director of the National Health and Family Planning Commission for Stroke Screening and Prevention Engineering, Chao Baohua, said that the stroke screening and prevention project relies on the construction of the base hospital network and vertical service system, and establishes a government-led, multi-sectoral cooperation and working mechanism for the whole society. It is hoped that the morbidity and mortality of stroke will be reduced through the joint efforts of medical institutions at all levels and medical workers at all levels.
Source: Dongfang Net
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