摘要
目的探讨心脑血管病社区综合性干预对人群心电图的影响。评价干预效果。方法1991~1992年,对北京郊区35~74岁农民1833人做有关心脑血管病危险因素调查,三年干预后对2710人进行复查。采用WHO推荐使用的静息心电图明尼苏达编码方法,将两次心电图结果进行对比分析。结果主要异常码和次要异常码的发生率在干预区由基线时的14.88%和31.28%,分别降至复查时的12.59%和30.76%;在对照区由基线时的9.97%和27.44%,分别升至复查时的11.51%和35.17%(P<0.001)。经过干预后,女性编码率的降低幅度大于男性,尤以4-.5-码为显著由12.2%和22.3%分别降至7.2%(P<0.01)和18.6%,而在对照区4-.5-码由基线时的5.8%和10.7%分别升至复查时的8.7%(P<0.05)和17.3%(P<0.001)。结论心脑血管病人群干预是有效的,女性较男性显著。
Objective To investigate the effects of intervention on the ECG Minnesota coding in the population of Fangshan (one of Beijing suburbs) farmers. Methods The investigation of cardioand cerebrovascular disease risk factors were performed in 1 833 farmers with age 3574 years in 19911992. After threeyear intervention, 2 710 people were researched again. The WHOrecommended restECG Minnesota coding rates were compared before and after threeyear intervention in this study. Results In the intervention group, the major and minor abnormality codes were 14.88% and 31.28% at baseline, and reduced to 12.59% and 30.76% after 3year intervention respectively. In the control group, the major and minor abnormality codes were increased from 9.97% and 27.44% at baseline to 11.51% and 35.17% after 3year nonintervention respectively (P<0.001). After 3year intervention, the abnormal code rate decreased more in female than in male which especially decreased in Minnesota 4code (ST abnormalities) from 12.2% to 7.2% (P<0.01), and in 5code (T wave changes) from 22.3% to 18.6%. In control group, abnormal code rate in 4code increased from 5.8% to 8.7% (P<0.05) and in 5code from 10.7% to 17.3% (P<0.001). Conclusion These results showed that community intervention has certain beneficial effects on cardioand cerebrovascular disease demonstrated by ECG Minnesota coding rate, especially in female which may be due to their good compliance during the intervention.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
1998年第4期305-308,共4页
Chinese Journal of Cardiology
基金
国家八五攻关课题