常熟市部分农村社区居民高血压干预效果中期评估

Medium-term Effectiveness Evaluation of Hypertension Intervention in the Rural Communities in Changshu

[目的]探索适合社区高血压防治的有效方法，以便控制高血压的危害。[方法]2001～2004年在常熟市部分农村社区对高血压患者进行综合干预，对中期干预效果进行评估。[结果]干预前调查高血压患者570例，血压为（15Z．6±19．8）／（87．1±12．0）mmHg，干预后调查患者540例，血压为（137．6±13．9）／（82．7±9．2）mmHg（P〈0．01）；高血压患者高血压控制率干预前为12．28％，干预后提高到50．37％（P〈0．01）。高血压患者的吸烟率、饮酒率与饮食偏咸者所占比例，分别由干预前的31．58％、16．49％、35．96％下降到干预后的15．74％、10．37％、29．44％，规律服药率由39．30％升至56．48％，高血压相关知识知晓率明显提高（P〈0．01或P〈0．05）。[结论]以社区为基础的高血压综合防治方法是有效的。

[Objective]To study the effective method of prevention and treatment for hypertension in communities, in order to control the harms of hypertensive. [Methods]From 2001 to 2004, all hypertensive patients in partial rural communities in Changshu city were selected to be intervened synthetically, then mediumterm intervention effectiveness was evaluated. [Results]Before intervention, the average levels of SBP and DBP of 570 hypertensive patients were （152.6± 19.8）/ （87.1±12.0） mmHg,after intervention, the average levels of SBP and DBP of 540 hypertensive patients were （137.6 ± 13.9）/（82.7±9.2） mmHg. Effectively hypertensive control rate was increased from 12.28% to 50.37%. The rates of smoking,drinking and over salted diet were decreased respectively from 31.58%, 16.49% and 35.96% to 15.74%, 10.37% and 29.44%. The rate of taking drugs regularly was increased from 39.30% to 56.48%. The known rate of knowledge about how to prevent and control hypertension among target population increased remarkably. [Conelusion]The method of community-based comprehensive prevention and control for hypertension was effective.