北京社区人群脑卒中干预后延续性效果评价  

Follow-up Study in Stroke after Community Intervention in Urban Beijing

作　　者：吴升平[1] 王文志[1] 杜晓立[1] 鲍秋菊[1] 赵东海[1] 

机构地区：[1]北京市神经外科研究所神经流行病学室,北京100050

出　　处：《中国慢性病预防与控制》2004年第6期253-255,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的随访干预和对照队列(≥35岁)人群,探讨脑卒中危险因素水平变化及干预措施的延续性效果。方法对10年前两组队列人群进行横断面追踪调查。结果随访干预人群为2244人,占83%;对照人群为2064人,占74%。对照队列易诱发脑卒中相关疾病心脏病、脑缺血发作(TIA)明显高于干预组。危险因素水平血压均值(干预组132/78mmHg,对照组134/84mmHg)、体质指数增加、食盐摄入量增加、纤维素摄入量不足等方面与对照组比较,差异有显著性(P<0.05)。卫生健康教育和健康促进的延续性效果明显。干预和对照组死亡人数分别为298人和359人,累积死亡率为11.1%和13.0%,对照组高于干预组。心脑血管病死亡率两组间差异有显著性。结论社区人群脑卒中危险因素干预持续性效果明显,但要降低脑卒中死亡率还需要更长时间的验证。Objective To study the changes of the risk factors for stroke and the durative effects of stroke intervention and control cohort population (age≥35 years). Methods Both the intervention and control cohort population formed 10 years before were investigated by cross-over sectional study. Results The Follow-up rate were separately 83.7% (2 244/2 681) in the intervention group and 74.7% (2 064/2 760) in the control group. The rates of heart disease and the stroke's risk factors for TIA were higher in the control group than in the intervention group. There were statistically differences between two groups (P<0.05) in four stroke's risk factors such as average blood pressure (134/78 mmHg in the intervention group, 134/84 mm Hg in the control), high salt intake, increased BMI and insufficiency of food fiber. The durative effects of health education and health promotion were obvious. The death cases was 359 in the control group and 298 in the intervention group, and the death rate of cumulative rate were 13.0% and 11.1%, separately. The mortality rate of cardio-cerebrovascular disease was significantly higher in the control group than in the intervention group. Conclusion The continuance intervention effects on risk factors for stroke in community population were obvious, but effectively control to the mortality rate of the cerebrovascular disease was needed to make a further study.

关 键 词：脑卒中 危险因素水平 干预 

分 类 号：R743.33[医药卫生—神经病学与精神病学]