湖北省三峡坝区高血压的社区干预试验效果评价  

Evaluation of community intervention study for hypertension in rural areas

作　　者：黄洁[1,2] 许奕华[1] 向浩[1] 李雪华[1] 蔡黎[1] 聂绍发[1] 

机构地区：[1]华中科技大学同济医学院公共卫生学院流行病与卫生统计学教研室,湖北武汉430030 [2]随州市第一人民医院内科,湖北随州441300

出　　处：《中华疾病控制杂志》2008年第6期580-583,共4页Chinese Journal of Disease Control & Prevention

摘　　要：目的评价农村社区高血压6 a干预试验效果。方法以三峡坝区农村社区35岁以上人群为研究对象,对不同的人群采取不同的干预措施。结果6 a干预后示范区全人群收缩压均值下降4.10 mmHg(P<0.01)、人群不良饮食习惯改变(P<0.05)、男性吸烟率下降22.85%(P<0.01)、男性饮酒率下降23.64%(P<0.01),示范区高血压患者的知晓率、治疗率和控制率分别提高到94.38%、76.40%和59.55%。结论综合性社区干预对高血压的防治具有良好的控制效果,应将干预持续下去并在其他社区推广应用。Objective To evaluate the effect of community intervention study for hypertension in rural areas. Methods The population older than 35 were divided into three groups, including patient group, high-risk population group, and general population group. Different intervention measures were used for different groups. Results 6 years after intervention, the mean of systolic pressure in intervention community decreased by 4.10 mmHg （P 〈 0.01 ）; the harmful dietary habit changed; the smoking rate in male decreased by 22.85% （P〈0.01）; the drinking rate in male decreased by 23.64% （P〈0.01）. Awareness rate, treatment rate and controlling rate of hypertensive increased （ P 〈 0.05）. Conclusions The comprehensive community intervention is effective to prevent and control hypertension. It should be continued and practiced in other communities.

关 键 词：高血压 干预性研究 评价研究 

分 类 号：R544.1[医药卫生—心血管疾病]