离退休人群心血管疾病危险因素综合干预效果

目的 通过对离退休老年人心血管危险因素的调研,并以此为基础制定有效的干预措施,达到降低心血管疾病发生率的目的.方法 对601例离退休老年人群进行心血管疾病危险因素调查,并进行心脑血管疾病的防治与合理膳食的宣传教育,定期随访5年.结果 吸烟率下降30.6％ （P＜0.01）,总胆固醇（TC）、低密度脂蛋白-胆固醇（LDL-C）和甘油三酯（TG）的达标率分别提高112.14％ （P＜0.01）、68.28％ （P＜0.01）和13.29％（P＜0.01）,高血压患者的血压控制达标率提高13.40％ （P＜0.01）.同2007年相比,缺血性心脑血管疾病发病率降低44.5％ （P＜0.05）.结论 对老年心血管危险因素的综合干预能够达到有效减少心血管疾病的发病率的目的.

The effects of comprehensive intervention on cardiovascular disease risk factors in health crowd

Objective To investigate the cardiovascular disease （CVD） risk factors in the retired people, and to comprehensively intervene the risk factors in this people to reduce the incidence of the cardiovascular diseases. Methods The baseline survey of CVD risk factors was carried out in 601 retired people. Health education, risk evaluation, individualized treatment and follow-up for five years were conducted. Results Smoking rate was reduced by 30.6% （P〈 0.01）. The up-to-standard rate of TC, LDL-C and TG increased by 112.14%（P〈0.01）, 68.28%（P〈0.01） and 13.29% （P〈O.O1） respectively. The up-to-standard rate of lowering blood pressure increased by 13.40% （P〈0.01）. The rate of ICVD （Ischemic CVD） was reduced by 44.5% （P〈0.05） significantly compared with those in 2007. Conclusion Comprehensive intervention according to the risk factors can control the incidence rate of the cardiovascular disease.