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目的:对1997/2000在上海实施的脑卒中社区综合防治项目进行效果评价。方法:选择了市区6个点和郊区2个点,针对全人群和高危人群,实施以防治高血压为重点的综合性干预措施。调查设计采用准实验与前后对比相结合的方法。结果:经过两三年时间干预,高血压人群管理率上升3.4%,控制率上升5.3%,收缩压平均下降了3.47mmHg(1mmHg=0.133kPa),舒张压平均下降了1.74mmHg,脑卒中的标准化发病率1998年与2000年相比,干预组下降了19.8/10万,对照组下降了13.8/10万,干预组比对照组多下降了7.0‰。结论:脑卒中社区综合防治措施能降低高血压人群的血压水平和脑卒中的发病率。
Objective: To evaluate the effect of 1997/2000 Stroke Community Integrated Prevention and Control Project in Shanghai. Methods: Six points in the urban area and two points in the suburbs were selected. Comprehensive interventions focused on prevention and treatment of hypertension were conducted for the whole population and high-risk groups. Survey design uses a combination of quasi-experiment and contrast method. Results: After two or three years of intervention, the rate of hypertensive population management increased by 3.4%, control rate increased by 5.3%, systolic blood pressure decreased by 3.47mmHg (1mmHg = 0.133kPa) on average and diastolic blood pressure decreased by 1.74mmHg on average. Stroke standardization Incidence 1998 compared with 2000, the intervention group dropped 19.8 / 100000, the control group dropped 13.8 / 100000, intervention group than the control group decreased by more than 7.0 ‰. Conclusion: Comprehensive prevention and treatment of stroke community can reduce the blood pressure and the incidence of stroke in hypertensive population.