长沙市居民脑血管病十年综合性预防研究-危险因素的变化

Ten years study of comprehensive prevention of cerebrovascular disease of urban residents in Changsha-changes of risk factors

目的 研究社区综合性预防对人群脑血管病危险因素的影响。方法 1990～ 2 0 0 0年在长沙市城区 10万自然人群 (按整群抽样分为干预区和对照区 )中开展社区综合性预防研究 ,2 0 0 0年、1997年、1995年和 1992年分别于研究人群中抽样检查血压和血脂等脑血管病的危险因素。结果 经过近 10年干预后 ,干预区居民人均甘油三酯降低、高密度脂蛋白升高、另外女性居民还有人均舒张压降低 ;而对照区居民人均收缩压和舒张压以及血清总胆固醇均增高。结论 脑血管病社区综合防治有效 ,但存在性别差异。

Objective To study the effects of comprehesive prevention of cerebrovascular disease.Methods One hundred thousand natural population in urban community of Changsha were divided into an intervention area and a control area in 1992, then comprehesive prevention of cerebrovascular disease was carried out. Some risk factors of cerebrovascular, such as systolic and diastolic blood pressure (SBP and DBP), serum total cholesterol (TC), were measured in 2000, 1997, 1995 and 1992. Results After comprehesive prevention in 10 years, the average levels of HDL cholesterol increased, the average levels of triglycerides (TG) decreased, the average levels of DBP of female population decreased in the whole intervention area population. But SBP\,DBP and TC increased in the whole control area population. Conclusion It is effective for comprehesive prevention of cerebrovascular in community population, but it is different from male and female.