2008年峨眉山市城区居民慢性非传染性疾病现患调查

Investigation and analysis of current incidence of chronic non-infections diseases of the inhabitants at Meishan area in 2008

目的了解峨眉山市城区居民慢性非传染性疾病的现患情况。方法2007年5月至2008年12月由社区卫生服务中心(CHSC)专业人员组成的调查队开展了对峨眉山市城市居民以各居委会随机抽取住户小区入户调查建档工作。结果完成峨眉山市区11个居委会范围的21472人次的居民慢性非传染性疾病现患调查。统计结果显示,峨眉山市城市居民中60岁以上占15.5%,已经进入老年社会;慢性非传染性疾病排前5位的是:高血压2477例(11.54%);糖尿病905例(4.22%);慢性阻塞性肺病479例(2.23%);冠心病209例(0.98%);脑血管病99例(0.46%)。结论居民突出的卫生问题是慢性非传染性疾病(高血压、糖尿病、慢性支气管炎等)的防治。有关机构应积极开展慢性非传染性疾病的科学管理,提高预防、治疗水平;积极开展健康教育,提高居民生活(饮食)行为习惯和普及科学的生活方式综合干预措施;同时CHSC应完善预防接种等公共卫生服务功能,提高妇女儿童及老人等重点人群的预防保健服务覆盖范围。

Objective To survey current incidence of chronic non-infections situation among the urban inhabitants in the central area of meishan City. Methods Randon investigation and health physical examination of the inhabitants were performed by investigative team professionals of Community Health Service Center （CHSC） from May 2007 to Dec. 2008. Results Basical health investigation had been undertaken for 21 472 persons at 11 urban inhabitants committees of meishan City, and the statistical data demonstrates., persons over 60 years old are 15.5 %, indicating it is in an aged society. The prevalence of chronic noncommunicable diseases with urban inhabitants are： 2477 cases of essential hypertension （EH） （11.54%） ; 905 cases of diabetes mellitus （DM） （4.22%） ; 479 cases of chronic obstructive pulmonary disease （COPD） （2.23%）; 209 cases of coronary heart disease （CHD） （0.98%）; and 99 cases of brain vascular disease （BVD） （0.46%）. Conclusion Outstanding health problems for urban inhabitants are： prevention and treatment of chronic noncommunicable diseases （EH. DM. COPD. etc. So, the general interferential measure should be adopted, and scientific management should be taken for chronic noncommunicable disease to elevate prevention and therapeutic level. Conduct health education in order to improve living habits and popularize scientific life style and the vaccination. At the same time, the public health service must shoulder the responsibility of preventive health service for the weak population as women, children and aged persons, etc.