论文部分内容阅读
目的利用浙江省高血压社区综合防制工作情况年度报表数据与脑卒中发病资料,对浙江省2012年高血压管理效果进行评价。方法采用中位数与极值对全省90个县区的高血压登记率、规范管理率、饮食/运动干预率、药物治疗率及血压控制率与脑卒中发病率分布进行描述,采用Wilcoxson检验,Spearman相关分析与线性回归模型对两者的关联性进行分析与比较。结果 2012年浙江省平均高血压登记率、规范管理率、饮食干预率、运动干预率、药物治疗率与血压控制率分别为8.40%、83.55%、46.04%、36.61%、72.18%与58.01%,除了饮食干预率,城市地区各指标均高于农村;脑卒中发病率272.83/10万,农村地区脑出血发病率高于城市地区(Z=-2.575,P=0.010);规范管理率、运动干预率、药物治疗率与血压控制率与脑出血发病率呈负相关(P<0.05),脑梗死与各项指标无显著关联(P>0.05)。据推算规范管理率、运动干预率、药物治疗率与血压控制率提高1%,则脑出血发病率分别将下降1.11%、0.39%、1.10%与0.70%。结论城市的高血压登记率、运动干预率、药物干预率和血压控制率要显著高于农村。现行的社区高血压管理模式对于出血性脑卒中的防制能够起到一定的效果,但是与脑梗死发病之间无明显的统计学关联。药物治疗与运动干预有显著的效果,但药物治疗的效果相对较好。
Objective To evaluate the effect of hypertension management in Zhejiang Province in 2012 by using the annual report data and stroke incidence data of comprehensive prevention and control of hypertension community in Zhejiang Province. Methods Median and extremes were used to describe the registration rate of hypertension, standardized management rate, dietary / exercise intervention rate, drug treatment rate, blood pressure control rate and incidence of stroke in 90 counties of the province. Wilcoxon test , Spearman correlation analysis and linear regression model to analyze the correlation between the two. Results The average rate of hypertension registration, standardized management, dietary intervention, exercise intervention, drug treatment and blood pressure control rate in Zhejiang Province in 2012 were 8.40%, 83.55%, 46.04%, 36.61%, 72.18% and 58.01% respectively. In addition to the dietary intervention rate, the indicators in urban areas were all higher than those in rural areas; the incidence of stroke was 272.83 / 100000; the incidence of cerebral hemorrhage in rural areas was higher than that in urban areas (Z = -2.575, P = 0.010); standardized management rate, exercise intervention There was a negative correlation between rate of drug treatment and rate of blood pressure control and incidence of cerebral hemorrhage (P <0.05). There was no significant correlation between cerebral infarction and various indexes (P> 0.05). It is estimated that the standard management rate, exercise intervention rate, drug treatment rate and blood pressure control rate increased by 1%, the incidence of cerebral hemorrhage decreased by 1.11%, 0.39%, 1.10% and 0.70%. Conclusion Hypertension registration rate, exercise intervention rate, drug intervention rate and blood pressure control rate in urban areas are significantly higher than those in rural areas. The current community-based management of hypertension has some effect on the prevention and treatment of hemorrhagic stroke, but there is no statistically significant correlation between the incidence and the incidence of cerebral infarction. Drug treatment and exercise intervention have a significant effect, but the effect of drug treatment is relatively good.