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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Knowledge gaps in stroke care: results of a survey of family physicians in Pakistan.
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Knowledge gaps in stroke care: results of a survey of family physicians in Pakistan.

机译：中风护理方面的知识差距：巴基斯坦家庭医生的调查结果。

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Family physicians play a pivotal role in stroke prevention (primary and secondary) and early management of stroke in developing countries. The objective of this study was to evaluate whether Pakistani family physicians' approach to stroke prevention and management was in accordance with established international guidelines. This was a cross-sectional survey of randomly selected family physicians in Pakistan, conducted in 2007. A total of 588 family physicians participated in the study. The data reveal that 88% of the physicians are aware of at least one of the 5 major symptoms of stroke, but only 46% are able to correctly idenitfy all 5 symptoms; 93% of the physicians check blood pressure in their adult patients regularly, and 63% use a cutoff of 140/90 mm Hg to start antihypertensive therapy in routine clinical practice; 90% ask their patients about cigarette smoking or tobacco use, but only 64% regularly advise their patients to quit smoking; 75% do not routinely check cholesterol levels in their patients; 36% treat patients with stroke by themselves, whereas 64% prefer to refer these patients to a specialist or hospital; 57% use intravenous or sublingual antihypertensive medications in patients with acute stroke with blood pressure >160/100 mm Hg; and 95% use antiplatelet agents for stroke prevention, with 70% using aspirin and 28% using clopidogrel as first-line antiplatelet therapy. These data indicate a substantial gap between international guidelines and Pakistani family physicians' management of stroke patients. There is an urgent need for stroke-related continuing medical education to propagate stroke management guidelines.
机译：在发展中国家，家庭医生在中风的预防（初级和中级）和中风的早期管理中起着关键作用。这项研究的目的是评估巴基斯坦家庭医生的中风预防和管理方法是否符合既定的国际准则。这是2007年对巴基斯坦随机选择的家庭医生进行的横断面调查。共有588位家庭医生参加了这项研究。数据显示88％的医生至少知道中风的5种主要症状之一，但是只有46％的医生能够正确识别所有5种症状; 93％的医生定期检查成年患者的血压，而63％的医生在常规临床实践中使用140/90 mm Hg的临界值开始抗高血压治疗; 90％的人询问患者吸烟或吸烟的情况，但只有64％的人定期建议患者戒烟; 75％不定期检查患者的胆固醇水平; 36％的人独自治疗中风患者，而64％的人更愿意将这些患者转介到专科医生或医院; 57％的血压≥160/ 100 mm Hg的急性中风患者使用静脉或舌下降压药物; 95％的人使用抗血小板药物预防中风，70％的人使用阿司匹林和28％的人使用氯吡格雷作为一线抗血小板治疗。这些数据表明，国际准则与巴基斯坦家庭医生对中风患者的管理之间存在很大差距。迫切需要进行中风相关的继续医学教育，以传播中风管理指南。

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