高危人群慢性病危险因素社区监测与控制初步探讨  

Risk factors of chronic disease for high-risk population and its application in community

作　　者：陈瑞安[1] 符雁翎 包家立[3] 唐新华[4] 郑祎 朱朝阳[5] 俞蔚[4] 

机构地区：[1]浙江医院科教科,杭州310013 [2]浙江省嘉兴市洪合社区卫生服务中心 [3]浙江大学医学部公共卫生学院 [4]浙江医院心脑血管疾病防治中心,杭州310013 [5]浙江大学医学信息中心

出　　处：《中华全科医师杂志》2013年第12期980-982,共3页Chinese Journal of General Practitioners

基　　金：浙江省医药卫生平台重点资助计划（2012ZDA011）;浙江省卫生适宜技术成果转化计划（2011ZHA001）;浙江省重大科技专项（2008C03002-3）

摘　　要：高危人群危险因素的个体干预控制是慢性病防控的关键措施之一.对1个社区312名志愿者进行慢性病的初诊、筛选,共筛选出二类高危者23人,给其定制饮食、运动、吸烟、饮酒等4种危险因素限定量和需要量的控制方案,社区医师根据定制的方案对其进行1.5年的生活行为管理.随诊到21人,干预后20人（87％）身体状态从高危转为健康.提示社区医师对个体生活行为的干预是慢性病防控的有效手段.The individual intervention control of risk factors in high-risk population is one of key preventive measures of chronic disease.A total of 312 volunteers consulted physicians in one selected community.And 23 high-risk individuals of chronic disease were screened.The physicians customized the limit or requirement of diet,activity,tobacco and alcohol for each individual and made interventions of life behaviors according to the plans.The results showed that physical state of 20 （87％） of them converted from high-risk to health after interventions.Therefore customized control plan of individual risk factors is an effective control method of chronic disease.

关 键 词：慢性病 高危人群 

分 类 号：R195[医药卫生—卫生统计学]