河北省藁城市梅花镇慢性非传染性疾病综合防治措施研究  

A study on prophylactico-therapeutic measure of non-infectious diseases in Meihua Town Gaocheng City

作　　者：杨华英[1] 刘玉华[2] 韩锋[1] 陈明[1] 翟新灵[1] 袁湘芷[1] 

机构地区：[1]河北省疾病预防控制中心,050021 [2]河北省医学情报研究所

出　　处：《实用心脑肺血管病杂志》2003年第4期210-219,共10页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的　为制订我省慢性病防治对策 ,有针对性的开展防治工作 ,在藁城市梅花镇建立了慢性病综合防治示范社区 ,并在社区人群中进行慢性病患病情况及其危险因素的现况调查分析 ,提出预防对策 ,为全省慢性病防治工作的开展提供参考。　方法　采用流行病学的方法在自然人群中进行血压 ,血清总胆固醇 (TC) ,高密度脂蛋白胆固醇 (HDL C) ,空腹血糖 (FBS) ,体重指数 (BMI) ,膳食情况 ,以及行为危险因素问卷了解等调查。　结果　高血压患病率最高 ,其次为糖尿病与为冠心病 ,患病率分别为 34 4 % ,6 0 %和 3 0 3%。男性BMI平均为 2 3 89,女性BMI平均为 2 4 17,女性BMI平均值已超过超重指标 (BMI≥ 2 4的 2 0岁成人均为超重 )。居民的食盐摄入量每日在10克以上的占调查人口的 38 4 % ,吸烟率 ,男性达 74 1% ,女性为 2 1%。膳食调查显示 ,人群中对蛋白质 ,钙 ,铁 ,维生素C等日均摄入量远远达不到推荐量标准 ,尤以 15岁以下年龄组严重。　结论　该社区主要是高血压 ,糖尿病和冠心病的高发区 ,居民中存在吸烟 ,饮酒 ,高盐 ,不良习惯 ,膳食不合理和体力活动少等多种慢性病危险因素。针对以上特点 ,应对社区人群进行健康教育 ,提高保健意识 ,高危人群应进行危险因素的强化干预 ,高血压与糖尿病患者应统一建档 ,统一?Objective In order to work out strategies for prevention and cure of chronic non-infectious diseases in our province,A model prevention and cure community of chronic non-infectious diseases was established in Meihua Town Gaocheng City To find out the prevalence rate and risk factors among the inhabitant in this community,a prevalence survey was conducted and an effective preventive provide measures for instructing the whole province Methods To investigate blood pressure,serum total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),fasting blood sugar(FBS),body mass index(BMI),dietary survey and risk factors questionnaire Results The prevalence rate of hypertension,diabetes and coronary heart disease were 34 4%,6 0% and 3 03% respectively The BMI mean value in male was 23 89 and 24 17 in female (BMI≥24 is overweight in adults over 20) The residents' salt intake 10g/d was 38 4% The smoking rate of male is 74 1% and female is only 2 1% Dietary survey demonstrated that proportion of protein,calcium,iron and vitamin C intake compared with that standard was very low,especially in age under 15 Conclusion The main chronic non-infectious diseases were hypertension,diabetes and coronary heart disease;and the risk factors were smoking,drinking,high salt,not suitable diet and lack physical exercises and so on We should conduct health education and potentiate intervention to high risk group To record archives for hypertension and diabetes patients,perform non-drug and drug intervention,indicate patients to long-term treatment,recommend them how to diet and correct their wrong lifestyles and test periodically Then we could attain the aim to control and reduce the chances of complication

关 键 词：河北 藁城市 梅花镇 慢性非传染性疾病 综合防治措施 流行病学 

分 类 号：R442.9[医药卫生—诊断学]