上海县冠心病和脑卒中的人群监测和防治效果

THE EFFECT OF COMMUNITY SURVEILLANCE FOR CORONARY AND STROKE EVENTS IN SHANGHAI COUNTY

按WHO-MONICA方案的要求,对上海县10万人群从1983年至1988年作心血管病的人群监测和心血管病的人群防治。结果显示脑卒中发病率1988年比1983年降低27％。有非常显著意义(P<0.01)。冠心病发病率亦有明显下降,然受诊断标准和医疗条件的影响,尚需经过较长时间观察,才能得到证实。

According to the MONICA Project of WHO, community surveillance of cardiovascular diseases has been carried out among 100000 inhabitants in assigned rural area of Shanghai in the past six years. The results showed that incidence and mortality rate of coronary and stroke events in both' sexes between 25-74 years of age had declined significantly. The incidence rate of stroke fell 27% between 1983 and 1988. The decline of incidence and mortality rate of coronary and stroke events may, be contributed to the recognizing and appropriate treatment of hypertension, health1 education and the decline of risk factor levels of these diseases.The results also showed that difference of coronary and stroke events did exist between male and female. The cause of which was discussed.