常熟市农村居民代谢综合征社区干预效果观察  

Observation on the effect of community intervention on metabolic syndrome in rural residents of Changshu City

作　　者：张宁[1] 周正元[1] 徐晓燕[1] 苏靖[1] 

机构地区：[1]江苏省常熟市疾病预防控制中心慢病科,215500

出　　处：《职业与健康》2013年第5期519-522,共4页Occupation and Health

基　　金：苏州市科技局科技发展计划项目(项目编号:SZD0915)

摘　　要：目的探索、评价农村开展居民代谢综合征(MS)社区综合干预的措施及其效果。方法常熟市农村居民在流行病学调查基础上,筛选出MS人群,按照入选标准分为强化干预组(n=335)和常规干预组(n=356),2组年龄、性别无显著性差异;强化组给予基于社区的强化综合干预措施,常规组仅给予基本公共卫生服务要求的随访干预,干预工作持续至2011年底,观察MS人群各项指标变化情况。结果经干预后,强化组体质指数(BMI)、收缩压(SBP)、舒张压(DBP)、甘油三酯(TG)、空腹血糖(FBG)5项指标下降,与常规组相比,差异有统计学意义(P<0.01);2组干预后腰围、总胆固醇(TC)2项指标较干预前均有所下降,高密度脂蛋白胆固醇(HDL-C)显著上升(P<0.01);强化组干预后MS各组分达标率普遍升高,常规组干预后MS各项指标达标率各有升降;干预后强化组在吸烟、饮食等生活方式上较常规组有明显改变,但在参与运动方面差异不大。结论在农村地区结合国家基本公共卫生服务工作开展以社区为基础的针对MS患者的强化综合干预,是行之有效的。[ Objective ] To explore and evaluate the measures and effects of comprehensive intervention of metabolic syndrome（MS） in community of rural residents. [ Methods ] Based on the epidemiological investigation, the MS population were filtrated and then divided into strengthened intervention group （ n = 335 ） and general intervention group （ n = 356 ） by the criteria of MS. The two groups were comparable in age and gender. Strengthened comprehensive intervention based on rural community was carried out on strengthened group while basic public health care of the country （ follow-up intervention ） was administered on general group. The intervention lasted to the end of year 2011. The changes of the component of MS population was observed. [ Results] After interven-tion, the levels of body mass index （ BMI ）, systolic blood pressure （ SBP ）, diastolic blood pressure （ DBP ）, triglycerides （ TG ） and fasting plasma glucose（FBG） in strengthened group were decreased, and significant difference was found between the two groups （ P 〈 0.01 ）. The levels of waist circumference and total cholesterol（ TC ） in two groups were decreased, and high-density lipoprotein cholesterol （ HDL-C ） was significant increased （ P 〈 0.01 ）. The rate of control of each MS component increased in strengthened group while there were increased and decreased in general group after intervention. There were significant difference in smoking, eating and other life style between the two groups after intervention, but there was no difference according to physical activity. [ Conclusion] Comprehensive strengthened intervention which based on rural community combined with basic public health care of the country to the MS population is possible and effective.

关 键 词：代谢综合征 综合干预 效果 

分 类 号：R193[医药卫生—卫生事业管理]