2009～2011年胶南市农村居民高血压、糖尿病综合干预效果分析  

Analysis on the Effectiveness of Comprehensive Intervention on Hypertension and Diabetes Among Rural Residents, Jiaonan City, 2009-2011

作　　者：张栋[1] 陈书华[1] 霍玲玲[1] 宁峰[2] 曹乾斌[3] 辛化雷[3] 陈向华[1] 逄增昌[4] 

机构地区：[1]胶南市疾病预防控制中心,山东胶南266400 [2]赫尔辛基大学公共卫生学院,芬兰赫尔辛基00014 [3]青岛大学医学院,山东青岛266021 [4]青岛市疾病预防控制中心,山东青岛266033

出　　处：《预防医学论坛》2013年第1期12-14,共3页Preventive Medicine Tribune

摘　　要：[目的]提高居民高血压、糖尿病知识的知晓率,患者的治疗率和控制率,为农村地区高血压、糖尿病综合防治工作提供参考依据。[方法]2009～2011年,在胶南市农村地区抽取部分35岁以上常住居民进行高血压、糖尿病高危人群筛查,发现高危人群和患者,建立电子健康档案,进行强化教育和个性化随访干预,对干预效果进行分析。[结果]2009～2011年累计筛查≥35岁人群221 514人,高血压高危人群检出率为38.03%,糖尿病高危人群检出率为22.11%;高血压患病率为25.19%,糖尿病患病率为7.72%。干预前后分别调查1 280人,高血压知识知晓率干预前为30.47%,干预后为63.28%(P<0.01);糖尿病知识知晓率干预前为24.38%,干预后为43.91%(P<0.01)。干预前调查,高血压患者1 027例的治疗率为20.16%,血压控制率为12.17%;糖尿病患者442例的治疗率为37.10%,血糖控制率为23.53%。2012年3月,高血压患者16 883例的治疗率为57.70%,血压控制率为32.70%;糖尿病患者6 566例的治疗率为61.10%,血糖控制率为45.37%。干预后与干预前比较,高血压患者的治疗率与血压控制率均有明显提高(P<0.01);糖尿病患者的治疗率与血糖控制率均有明显提高(P<0.01)。[结论]在农村居民中开展高血压、糖尿病高危人群筛查、健康促进和个性化干预,可以提高居民高血压、糖尿病知识的知晓率和患者的治疗率与控制率。[Objective]To raise the awareness of hypertension and diabetes among rural residents,and improve rates of the treatment and control in patients, so as to provide basis for comprehensive control on hypertension and diabetes in rural areas. [Methods]High-risk screening programs for hypertension and diabetes were carried out among adult populations aged ≥35 years in rural areas. The high-risk individuals or patients with hypertension or diabetes were collected and re- corded. The targeting health education and personalized intervention was employed during the follow-up survey and the ef- fectiveness of intervention was evaluated. [Results]The high-risk screening programs were focused on 221 514 individuals aged ~35 years. The rates of high-risk individuals with hypertension and diabetes were 38.03 % and 22.11%, respective- ly. The prevalence of hypertension and diabetes were 25.19%and 7.72%, respectively. A total of 1 280 individuals were selected to evaluate the effectiveness of lifestyle intervention. The rate of hypertension awareness was higher after the in- tervention than before intervention （63.28% vs. 30.47%, P 〈 0.01）, and the corresponding figures for diabetes were 43.91% and 24.38 % （ P d0.01 for comparison）, respectively. Before the intervention, the rates of hypertension treatment and blood pressure control were 20.16%and 12.17%for 1 027 hypertensive patients. The rates of diabetes treatment and blood glucose control were 37.10 % and 23.53 % for 442 diabetic patients. After the intervention in March 2012, the rates of hypertension treatment and blood pressure control were 57.70%and 32.70%for 16 883 hypertensive patients. The rates of diabetes treatment and blood glucose control were 61.10%and 45.37%for 6 566 diabetic patients. The rates of hyperten- sion treatment and blood pressure control were significantly higher after intervention than before intervention（P〈0.01 ）. The similar trend was observed in diabetes treatment and blood glucose control（ P〈0.01）. f-Conclusion~ The high-

关 键 词：高血压 糖尿病 高危人群 干预 

分 类 号：R544.1[医药卫生—心血管疾病]