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黄广勇, 顾东风, 段秀芳, 徐希胜, 陈百玲, 谢宝元, 秦富军, 吴锡桂. 北京郊区农村心血管病人群防治结果分析[J]. 中国公共卫生, 1998, 14(12): 707-709.
引用本文: 黄广勇, 顾东风, 段秀芳, 徐希胜, 陈百玲, 谢宝元, 秦富军, 吴锡桂. 北京郊区农村心血管病人群防治结果分析[J]. 中国公共卫生, 1998, 14(12): 707-709.
Huang Guang-yong, . Beijing Fangshan Cardiovas cular Prevention Program: Results at Mid-study[J]. Chinese Journal of Public Health, 1998, 14(12): 707-709.
Citation: Huang Guang-yong, . Beijing Fangshan Cardiovas cular Prevention Program: Results at Mid-study[J]. Chinese Journal of Public Health, 1998, 14(12): 707-709.

北京郊区农村心血管病人群防治结果分析

Beijing Fangshan Cardiovas cular Prevention Program: Results at Mid-study

  • 摘要: 为研究心血管病的社区综合防治效果,自1991年起,对北京近郊房山区10余万农民进行了设有平行对照的心血管病社区综合防治研究,防治措施以健康教育和控制高血压为主。对该区1992~1995年心血管病的标化发病率?死亡率和潜在寿命损失年数进行分析。结果:(1)干预区心血管病的发病率和死亡率分别由1992~1993年的258.87/10万和184.10/10万下降为1994~1995年的236.08/10万和160.24/10万;对照区心血管病发病率由1992~1993年的278.27/10万上升至1994~1995年的326.46/10万,死亡率变化不明显。1994~1995年干预区的心血管病发病率和死亡率均比对照区低,其中发病率差别显著(P<0.01)。(2)1994~1995年干预区心血管病YPLL标化率(男6.04‰,女10.77‰)明显低于对照区(男6.92‰,女12.72‰),女性差别更显著(P<0.01):干预区女性心血管病例的每例损失年数小于对照区(分别为7.05年和8.07年),而男性心血管病例的每例损失年数大于对照区(分别为4.88年和3.03年)。这与女性积极参与健康教育?服药顺应性好?高血压管理和控制率高相一致。

     

    Abstract: To evaluate the effects of comprehensive prevention and treatment for cardiovascular disease in communities, community intervention study with parellel comparison, focused on health education and hypertension control, was undertaken in the rural areas with hundred thousand population in Beijing municipality from 1991-1995 The standardized morbidity? mortality and years of potential life lost(YPPL) of cardiovascular disease during 1992 to 1995 were analyzed. Results: (1) The morbidity and mortality of intervention district declined from 258. 87 per 10000 and 184. 10 per 100000 to 236. 08 per 100000 and 160. 24 per 100000 whereas the morbidity of control district increased from 278.27 per 100000 to 326. 46 per 100000 during 1992-1995. The morbidity and mortality of intervention district were lower than that of control district in 1994-1995, the difference of morbidity has statistical signifi-cance(P<0.01) (2)The rates of Y PLL of intervention district (6.04‰: for male and 10.77‰for female) were lower than that of control district(6.92‰ for male and 12.72‰ for female), esppecially for female(P <0.01). Hie average YPLL for female patients in intervention district was lower than that of control district(7.05 versus 8.07years) where as it was higher for male patients in intervention district than that of control district(4.88 versus 3.03 years). These results are correspond with actively participating health education, better compliance, higher rates of management and control of hypertension for female. Conclusion: Interv ention measures, focused on health education and hypertension control, can reduce the morbidity, mortality and the rates of YPLL of cardiovascular disease. the comprehensive prevention and treatment for cardiovascular disease in the rural communities are effective.

     

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