| 顾东风,甘文奇,徐希胜,段秀芳,谢宝元,黄广勇,陈纪春,王砚英,吴锡桂.北京房山社区人群心血管病1991 ～ 1999 年
综合防治效果评价[J].Chinese journal of Epidemiology,2001,22(6):424-427 |
| 北京房山社区人群心血管病1991 ～ 1999 年
综合防治效果评价 |
| Evaluation on the effect of cardiovascular prevention program in Fangshan, Beijing |
| Received:July 27, 2001 |
| DOI： |
| KeyWord: 流行病学 心血管疾病 发病率 社区卫生服务 |
| English Key Word: Epidemiolo gy Cardiovascular diseases Morbidity Community health services |
| FundProject:国家“ 八五” 、“ 九五” 科技攻关项目(85-915-01-03 、96-
906-02-02) |
| Author Name | Affiliation | | GU Dongfeng | 100037 北京, 中国医学科学院中国协和医科大学阜外心血管病医院心血管病研究所群体遗传与防治研究室 | | GAN Wenqi | 100037 北京, 中国医学科学院中国协和医科大学阜外心血管病医院心血管病研究所群体遗传与防治研究室 | | XU Xisheng | 北京市房山区第一医院心肺研究中心 | | 段秀芳 | Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical Collage, Beijing 100037, China | | 谢宝元 | 北京市房山区第一医院心肺研究中心 | | 黄广勇 | Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical Collage, Beijing 100037, China | | 陈纪春 | Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical Collage, Beijing 100037, China | | 王砚英 | 北京市房山区卫生局 | | 吴锡桂 | Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical Collage, Beijing 100037, China |
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| Abstract: |
| 目的 探索在我国农村社区人群中防治心血管病的可持续的有效途径和措施。方法采取全人群与高危人群相结合的防治策略，以健康教育和积极控制高血压为主要手段。干预措施包括：(1)建立健全县、乡、村三级防治网：(2)定期对基层医务人员进行心血管病防治培训：(3)开展经常性的健康教育和健康促进活动：(4)对年龄≥30 岁的人群进行高血压筛查、管理和防治指导。结果基线调查和2 次复查分别于1991 年和1995 、1999 年完成。经过9 年干预, 干预区人群心血管健康知识、态度和行为， 高血压的知晓率、治疗率和控制率， 一些营养素的摄入以及多数心血管病的危险因素均发生预期的良性改变：干预区人群脑卒中的平均发病率和平均死亡率分别比对照区低18.7%(u =
2.81，P <0.01)和17.7 %(u =2.91,P <0.01)：干预区冠心病的平均发病率和平均死亡率分别比对照区低4.9 %和4.3%, 但差异未达到统计学显著性水平。干预区和对照区人群的体重指数和血脂水平均有所升高。结论 房山农村社区心血管病综合防治途径和措施切合农村实际，取得明显成效。 |
| English Abstract: |
| Objective To evaluate the effect of cardiov ascular prevention program in Fangshan,Beijing (BFCP)from 1991-1999.Methods BFCP was a mprehensiv e community trial covering 120 000residents in five communities, including three as interventio n communities (IC), and two as co ntrol communities (CC), in Fangshan, suburb of Beijing.The prog ram was implemented under both population and high risk individual strategies, focusing on health education and hy pertensio n co ntrol.The main intervention measures w ere as follow s:(1)ne tw ork setup ;(2)health education and promotion ;(3)health professional training ;(4)detection and management of hy pertensive patients.Results Baseline, midterm and final cross-sectio nal surveys were co nducted in the year 1991, 1995 and 1999, respectiv ely.After 9-year intervention, improv ement w as found in population of IC versus CC (P <0.01 or P <0.05) fo r
knowledg e, attitude and behavio r of CVD prevention, awareness on hypertension, treatment and co ntrol
rates, as well as the quantity of dietary intake o f protein, potassium and calcium.Risk factors such as
systolic blood pressure, diastolic blood pressure, rates of smo king and alco hol drinking declined in the
population in IC versus CC (P <0.01).The average morbidity and mo rtality of stroke w ere 18.7 % (u =
2.81, P < 0.01) and 17.7% (u = 2.91, P < 0.01), sig nificantly lower in the IC versus CC.No
significant difference w as identified on the morbidity and mortality of coronary heart diseases between IC
and CC.Conclusion The comprehensiv e community prevention approach w as feasible and effective in the
prevention and control of cardiovascular diseases in rural populations in China. |
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