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脑卒中防控体系“荣成模式”初显成效

2017-09-05 13:41:45   央广网

两年时间内,H型高血压与脑卒中防控惠民工程已显现初步效果。据荣成疾病预防控制中心统计,按户籍人口统计,2013年脑卒中确诊病例为4086例,2016年同期则为3458例,脑卒中发病率同比降低15.4%。

山东省荣成市“H型高血压防控、服务于全市居民健康民生工程、推动医改与慢病管理体系的发展模式”也被纳入2016年全国人大和政协两会的提案中,形成了脑卒中筛查的“荣成模式”。

脑卒中防控体系“荣成模式”初显成效

  奥萨医药首次确认我国脑卒中高发的主因为H型高血压

H型高血压是指伴有高同型半胱氨酸血症的原发性高血压,这类高血压患者诱发脑卒中的发病率为正常人的28倍,这一发现是锁定脑卒中高危人群进而建立筛查预防体系的基础。

从1993年起,“千人计划”国家特聘专家、深圳奥萨医药董事长徐希平教授带领其团队,在安徽农村开展慢性病流行病学调查研究,通过15年间对10万多人群的跟踪随访,团队发现,引起中国脑卒中高发的一大病因是H型高血压,如果可以有效预防H型高血压,就能大幅降低脑卒中的发病率。正是因为有了这样大量的数据和研究成果,在美国学习生活了近20年后,徐希平教授带领团队回到了国内,在深圳建立了奥萨医药。

徐希平教授介绍,在国家卫计委的推动下,奥萨医药已经在安徽、山东、浙江、陕西、黑龙江五省基层社区和农村开展全社区的高血压和脑卒中防治民生工程。这些城市卫生部门与奥萨医药合作,为纳入管理的高血压患者提供依那普利叶酸片等国家基本药物政策优惠,由相关医疗机构临床医师根据患者具体病情,合理搭配,制订服药计划,努力使患者血压达标、稳定、可控。将高血压纳入医保慢性病管理,对H型高血压患者,加大规范管理工作力度,做好跟踪防控;对疑似脑卒中高危对象,及时安排干预治疗措施,尽最大努力降低发病可能。

而徐希平教授及其团队自主研发的依那普利叶酸(“依叶”)在预防脑卒中病发阶段发挥着重要作用,在对1万多病人进行了药品临床使用的追踪和评估后发现,依那普利叶酸片配合降压药可使近70%-80%的原本应发脑卒中的病人不发病,也就是降低70%-80%脑卒中,对控制非H型高血压也有较好效果。

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