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长沙市社区居民脑血管病危险因素综合防治前后的变化

Changes of risk factors of cerebrovascular diseases in the communities of Changsha

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【作者】 许宏伟杨期东刘运海萧剑锋田发发周艳宏夏健谢逸群

【Author】 Xu Hongwei,Yang Qidong,Liu Yunhai,et al.Department of Neurology,Xiangya Hospital,Hunan Medical University,Changsha 410008

【机构】 湖南医科大学湘雅医院神经内科

【摘要】 目的 :总结在我国人群中防治脑血管病的经验。方法 :1 992~ 1 995年在长沙市开福区 1 0万自然人群中 ,按整群抽样分为干预区和对照区 ,分别在 35~ 74岁的 81 2和 831亚组人群中调查收缩压、舒张压、体重指数( BMI)和血清胆固醇等 7项变量 ,作为评价干预效果指标之一 ,3年后抽取与干预前相同条件下的对象 956及 94 6人进行复查。结果 :干预后血糖及甘油三酯普遍显著降低 ( P<0 .0 5) ,平均舒张压、BMI也有下降趋势。干预后脑血管病年发病率显著下降。结论 :人群自我防病意识的提高 ,危险因素水平的下降 ,是降低脑血管病发病和死亡的重要途径

【Abstract】 Objective:To summarize the experience in the preventing cerebrovascular diseases in the population of China.Methods:One hundred thousand natural population in communities of Changsha were divided into an intervention area and a control area.Seven variables, including systolic and diastolic blood pressure (SBP and DBP)、body mass index(BMI) 、serum total cholesterol were measured in 812 and 831 subpopulation aged 35 to 74 years old respectively,and measured in 956 and 946 population after three years .Results:The average triglyceride and plasma glucose levels decreased significantly in the whole population after intervention.The incidence of stroke tended to decrease significantly in the intervention community from 1991 to 1995.Conclusion:Improvement in conscientiousness of self-prevention from disease and reduction in risk factors in the population are important ways to lower incidence and death-rate of cerebrovascular diseases.

【基金】 国家“八五”攻关课题!(85 -915 -0 1-0 3)
  • 【文献出处】 卒中与神经疾病 ,SRTOKE AND NERVOUS DISEASES , 编辑部邮箱 ,2000年03期
  • 【分类号】R743
  • 【被引频次】4
  • 【下载频次】48
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