长沙市脑血管病社区人群预防研究—发病率的变化

A Community-based Study of Cerebrovascular Diseases Prevention in Community Population of Changsha-Incidence's Change

目的 减少社区人群脑血管病的发病率。方法 在干预社区采用强化以脑血管病为主的卫生健康知识的宣传 ,管理高血压为主的综合性预防措施 ,监测脑血管病发病病例 ;在监测社区仅监测脑血管病的发病病例。结果 10年内监测社区平均年发病率为 2 31 8/ 10万 ,干预社区为 172 1/ 10万。 10年内干预社区脑血管病发病率比对照社区下降 2 6 % ;在干预社区内 ,2 0 0 0年比 1991年脑血管病下降 6 5 % ;在监测社区 ,2 0 0 0年比 1991年脑血管病发病率下降 33%。结论 本次为期

Objective To decrease the cerebrovascular incidence of community population.Methods Community-based comprehensive prevention was implemented in the intervention community,such as health education,hypertension controlment and cerebrovascular disease's incidence and mortality surveillance.In the control community only cerebrovascular disease's incidence and mortality was monitored .Results The annual averaged incidence was 231 8 per 100 000 in the intervention community,but only 172 1 per 100 000 in the control community in 10 years.There was 26% of decrease in the intervention than the control's in 10 years.The incidence decreased 65% in 2000 years than 1991 in the intervention community,with 33% in the control community.Conclusions It shows that the incidence of cerebrovascular disease may significently decrease through community-based comprehensive prevention in 10years.