综合性干预对社区高血压患者血压和人群脑卒中发病、死亡的影响  

Effects of comprehensive intervention on hypertension and the incidence and mortality of stroke in community population

作　　者：周艳宏[1] 杨期东[1] 许宏伟[1] 刘运海[1] 谢逸群[1] 张乐[1] 

机构地区：[1]中南大学湘雅医院神经病学研究所,湖南长沙410008

出　　处：《中风与神经疾病杂志》2002年第5期275-277,共3页Journal of Apoplexy and Nervous Diseases

基　　金：国家"九五"攻关课题 (96-90 6-0 2 -2 0 )

摘　　要：目的　研究综合性干预对社区高血压患者血压和人群脑卒中发病、死亡的影响。方法　 1997～ 2 0 0 0年对长沙市 35岁以上社区人群中的部分高血压患者进行综合性防治 ,并监测 1996～ 2 0 0 0年干预和对照社区人群脑卒中发病和死亡情况。结果　干预社区高血压患者收缩压人均下降了 4 .2 5 mm Hg、舒张压人均下降了 1.16 mm Hg(P<0 .0 1) ,且不论男女 ,人均血压均有不同程度的下降 ;综合干预使干预社区脑卒中发病率下降约5 0 %。结论　综合性干预能降低社区高血压患者血压水平 ,为脑卒中社区防治的有效手段。Objective To study the effects of comprehensive intervention on hypertension and the incidence and mortality of stroke in community population. Methods From 1997～2000,comprehensive intervention was carried on to some hypertensive population over 35 years old urban community in Changsha. Incidence and mortality of stroke were under surveillance from 1996 to 2000. Results The average of systolic blood pressure(SBP) decreased 4.25mmHg in the hypertensive population after intervention,diastolic blood pressure(DBP) decreased 1.06mmHg . The means of SBP and DBP decreased both in male and female. Comprehensive intervention decreased the incidence of stroke in community population by 50%. Conclusion The comprehensive intervention can decrease the average level of hypertension in community population. It's effective way to prevent stroke in community.

关 键 词：综合性干预 脑卒中 发病 死亡 高血压 社区人群 

分 类 号：R544.1[医药卫生—心血管疾病] R743.[医药卫生—内科学]