关键词: 糖尿病; 2型; 卒中; 一级预防

Abstract: Objective To investigate the current status of the risk factor management in patients with type IIdiabetes prior to and during their hospitalization. To look for the difference between the evidencebasedguidelines and its clinical practice, and to improve the knowledge levels of clinicians on theimportance of primary stroke prevention.Methods This is a retrospective cross-sectional study. One hundred sixty seven patients with typeII diabetes were surveyed on their status of stroke risk factor management prior and during thehospitalization.Results Of these 167 patients, 46.7% had hypertension, 36.0% were smokers, 0.6% had atrialfibrillation, 19.8% had coronary heart disease, and 23.4% had hyperlipidemia prior to theirhospitalization. During the hospitalization, 56.9% were diagnosed with hypertension and81.4% had hyperlipidemia. About 75.6% diabetic patients were treated for hypertension prior tobeing hospitalized, and 80.0% in-hospital patients were treated for hypertension (P >0.05). Forhyperlipidemia, 25.6% patients were treated prior to hospitalization and 69.1% in-hospital patientswere treated (P <0.01). For glucose-lowing therapy, 82.0% of prehospital patients were treated and97.6% in-hospital patients were treated (P <0.01).Conclusion The rates of treatment of stroke risk factors in type II diabetic patients were lowbefore they were hospitalized. Therefore, it is important to improve physicians’ behavior on therecognition and management of stroke risk factors in these patients.

Key words: Type 2; diabetes; Stroke; Primary prevention