天津市城区居民脑卒中社区干预效果的横断面评价

A Preliminary Evaluation on the Effect of Community Intervention Against Stroke in Tianjin Urban Area

对天津市城区三个脑卒中干预社区与三个非干预社区共３１９２３７人群１９９５年脑卒中发病与死亡等状况及４５３名存活病人的生活质量进行了横断面评价。干预社区标化发病率、标化死亡率及病死率分别为２１４．５２／１０万、４６．９５／１０万、２１．８８％，比非干预社区分别低２６．４５％、４９．９０％、３１．６５％。干预社区平均发病年龄、平均死亡年龄分别为６８．４岁和７２．２岁，较非干预社区分别推迟了６．０岁和７．６岁。干预社区脑卒中发作尚存病人生活质量状况无明显改善。

To evaluate the effect of community intervention against stroke in Tianjin urban area,the study was held about the incidence and death state of stroke in 310237 population and the quality of life (QOL) of 354 patients after stroke in three invented community (IC) and three nonintervened community (NC).The adjusted incidence rate,the adjusted death rate and the fatality rate of stroke in IC were 24452/100000,4995/100000 and 2188% respectively,declined by 1616%,4990% and 3165% respectively compared with NC.The mean incidence age and mean death age of stroke in IC were 684 yr.and 722 yr.respectively,higher than the NC by 60 yr.and 76 yr.respectively.The QOF of patients after stroke in IC had not been improved clearly.