农村社区原发性高血压综合防治效果评价

Evaluation on the effects of community-based comprehensive prevention and control of hypertension in the rural areas in China

目的 探索适合农村社区预防和控制原发性高血压的综合防治方案。方法 利用国家“九五”项目在北京市房山区开展综合防治研究。结果 通过干预 ,全部调查对象的收缩压和舒张压基本控制在基线时的水平 ;干预社区患病率的上升速度低于我国从 1979年到 1991年高血压患病率的上升速度 (前者为 14.7% ,后者为 5 3.7% ) ;调查人群的年发病率估计值为 1.4% ,接近全国 15岁及以上人群 1.0 %的发病率 ;高血压患者的知晓率、治疗率和控制率明显高于基线时的水平 ;高血压患者收缩压和舒张压均值较基线分别下降了 2 .9%和 5 .6 % ;高危人群各类高危因素的比例平均下降了13.4%。结论 农村社区开展原发性高血压综合防治效果明显。

Objective To explore the strategies and measures of community based comprehensive prevention and control of hypertension in the rural areas. Methods Community based comprehensive prevention and control of hypertension was put in practice in 120 000 people in Fangshan District of Beijing during the period of “The Ninth Five Year Plan (1996-2000)”. Results After intervention, blood pressure of the whole subjects were under control and kept the level of baseline data; the rate of increase of prevalence in the intervention areas was below the rate of that from 1979 to 1991 in China (the former was 14.7 %, while the latter was 53.7 %); the incidence rate of the subjects was 1.4 %, close to the average rate of age 15 and above in China; the rates of awareness, treatment and control were above the levels of baseline data; SBP and DBP of the patients decreased by 2.9 % and 5.6 %, respectively; while the rate of having high risk factors reduced by 13.4 % on average. Conclusion The community based comprehensive strategies and measures played an important and effective role in prevention and control of hypertension in rural areas.