乳山市农村居民高血压综合干预效果分析  

Investigation on comprehensive intervention effect for hypertension of rural resident in Rushan city

作　　者：张玉佳[1] 李立科[1] 邹跃威 姜泽春[1] 

机构地区：[1]乳山市疾病预防控制中心慢病科,山东264500

出　　处：《社区医学杂志》2015年第9期52-55,共4页Journal Of Community Medicine

基　　金：威海市科技发展计划项目(2010-3-85)

摘　　要：目的了解乳山市农村居民高血压综合干预措施的效果,为高血压防治策略的制定提供依据。方法 2010年在全市15个镇(街道)随机抽取15个村,每个村再随机抽取100户,每户抽取30周岁以上的居民作为调查对象,通过问卷调查和体格检查进行为期3年的干预,于2013年对这些人群进行结局调查。数据经正态检验若符合正态分布,采用配对t检验,若不符合则采用配对设计资料的符号秩和检验。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果 2013年收缩压中位数为128.00 mm Hg(1 mm Hg=0.133 k Pa)与2010年(130.00 mm Hg)进行比较,差异有统计学意义(T=-7.17,P<0.05);2013年舒张压中位数为81.00 mm Hg与2010年(80.00 mm Hg)进行比较,差异有统计学意义(T=-4.33,P<0.05)。2013年人群对高血压与高盐膳食、超重肥胖和过量饮酒关系的知晓率(70.44%、49.01%、41.87%)均高于2010年(53.07%、37.86%、33.43%),差异均有统计学意义(χ2=171.70、68.11、40.81,均P<0.05)。2013年对高血压可导致脑卒中和冠心病相关知识的知晓率(32.47%)高于2010年(29.79%),差异有统计学意义(χ2=4.45,P<0.05)。结论通过干预措施的实施,我市居民的生活方式得到改善,高血压综合干预效果显著。Objective To know the effect of comprehensive intervention for hypertension of rural resident in Rushan city,and to provide evidence for preventive strategy of hypertension.Methods 15 villages were randomly drawn from 15 towns（streets） in 2010,100 households were randomly selected from each village.Residents were chosen from more than 30 years old per household for the survey.Methods include questionnaires and physical examination,the intervention of the population for three years,investigate the outcome of these populations in 2013.The measurement data was compared with the paired t test, if data was consistent with a normal distribution.If the data does not conform to the normal distribution,the measurement data was used signed rank test.Count data was used Chi-squared test test,P〈0.05 was considered statistically significant.Results Median systolic was 128.00 mm Hg （1 mm Hg=0.133 kPa）,and median diastolic was 81.00 mm Hg in 2013 and the 2010 （130.00 mm Hg,80.00 mm Hg）,those were statistically significant difference（T=-7.17,-4.33,all P〈0.05）.In 2013,population with hypertension and high salt diet,overweight, obesity and excessive alcohol consumption awareness（70.44%,49.01%,41.87%）were higher than in 2010（53.07%,37.86%,33.43%）, differences were statistically significant（x^2=171.70,68.11,40.81,all P〈0.05）.In 2013 outcomes survey the hypertension can lead to stroke and coronary heart disease-related knowledge rate（32.47%） is higher than the 2010 baseline survey（29.79%）,the difference was statistically significant（x^2=-4.45,P〈0.05）.Conelusion Through the implementation of the intervention measures,lifestyle of city residents were improved,comprehensive intervention effect is remarkable of hypertension.

关 键 词：高血压 危险因素 干预效果 问卷调查 

分 类 号：R543.22[医药卫生—心血管疾病]