A FIVEi-YEAR REPORT (1975-1979) OF A CARDIOVASCULAR COMMUNITY CONTROL PROGRAM IN THE SHIJINGSHAN DISTRICT OF BEIJING

Iri the Shijingshan District of Beijing, car- diovascular dis.ease was the first leading ca.use of death in recent years. During the 5 year period, 1975-1979, a community control program of hypertension, st:oke and iscbemic heart disease has been carried out in this district. By the WHO criteria, the prevalence rate of hyper- tension, in people above 15 years of age was 8.11%. All hypertensives have been given pe- riodic check ups and drug therapy. Satisfactory control of hypertension has been obtained. Stroke mortality has been reduced by 23% in a people's commune, but mortality of acute myo- cardial infarction is increased.     

高血压病人和正常人脑电阻图之比较

近年来,国内较普遍地采用电阻技术来研究脑血管的功能状态,包括血管紧张度、弹性以及脑血流的搏动性供应强度。从而提供了有价值的参考数据。本文就120例正常人及100例高血压动脉硬化病人的脑电阻图形进行初步分析,报告如下: 方法和结果 方法 用上海产之脑电阻仪,国产7121型边笔式心电图机进行检查,受检者全部平卧。正常人120名,临床上无心血管病变,年龄36～78岁。病人100     

改良的24小时膳食回忆调查方法及其在心血管病流行病学研究中的应用

在慢性病流行病学研究中要了解营养因素与疾病发生的关系,必须既有特定人群群体又有其中个体的膳食资料,要求调查方法在协作单位间要统一标准化,与国际上要有可比性。国际上慢性病流行病学研究中广泛应用24小时回忆膳食调查方法,它的优点是简便,给被调查者负担轻,能得到较高的应答率,易于抽样,结果具有较好代表性。为了建立适合我国膳食特点又与国际上的个体膳食调查方法可比,我们吸取其经验,并结合中国膳食特点加     

我国高血压、脑卒中、冠心病及急性心肌梗塞的流行学及人群防治工作

作者认为,心血管病在人口死亡原因中已从过去的第3—7位上升到1—2位,约占所有死亡的一半。高血压患病率一般为2—10％,城市高于农村,北方高于南方,近年并有所上升。脑卒中的发病率,死亡率与日本相近,按一定人群登记统计,五个地区的发病率为80.3～159.8/10万,死亡率为48.0—110.9/10万。冠心病的患病率(30—40岁以上)约为3—5％。急性心肌梗塞发病率和死亡率均较欧美为低,1976年卫生统计中,12个死亡率较高的城市,如天津为51.5/10万,北京为45.2/10万。 近10年来,我国心血管病人群防治科研工作得到很大进展,收到很好的防治效果。如北京石景山区建立了包括20万人口的防治区,到1978年底已完成高血压普查,按WHO诊断标准其患病率为8.11％。共治疗管理患者4894例,控制率达73.8％。全区共登记急性心肌梗塞69例,发病率为52.09/10万,死亡率为23.4％,登记脑卒中220例,发病率为166.10/10万,死亡率为55.11/10万。     

A FIVE YEAR REPORT ON COMMUNITY CONTROL OF HYPERTENSION, STROKE AND CORONARY HEART DISEASE IN THE SHIJINGSHAN PEOPLE''S COMMUNE, BEIJING

Survey and community control of hyperten- sion, stroke and coronary heart disease have been carried out in the Shijingshan People's Com- mune, Beijing since 1975. The prevalence rate of hypertension (WHO criteria) in people over 15 years of age is 5.50'70. A simple regime of compound antihypertensive drugs brought satis- factory control of hypertension in 65.43'/o. The coronary heart disease prevalence rate in persons over 40 years of age is 3.93To. FonOw up in 114 cases shows a 5 year case fatality rate of 7.670 from cardiovascular complications. ECG follow up examination in 85 cases shows improvement or stationary changes in 83.5'70 0f the group. Review of the mortality statistics sho!ws a 13.03To reduction in the cardiovascular mortality rate and a 23.21To reduction in the stroke mor- tality rate.     

NATION-WIDE HYPERTENSION SCREENING IN CHINA DURING 1979-1980

Since 1958, hypertension screening has been carried out in various parts of China and much data have been accumulated. But the diagnostic criteria of hypertension and the methodology were not standardized in the past. In order to secure a more complete and reliable prevalence picture of hypert.ension in our country, a nation-wide sample screening of hypertension was planned at a cardiovas- cular epidemiology meeting held in April, 1979. Hypertension is defined when the blood pressure is up t0 160/95 mm Hg and above on 2 0r 3 measurements, as recom- mended by a World Health Organization Expert Committee meeting held in 1978. Blood pressure between 160/95 and 140/90 mm Hg is designated as "borderline hyper- tension". The people screened were adults above 15 years of age. Screening of t.he urban population in l city covered about 12,000 inhabitants of different age groups (15-24, 25-34, 35-44, 45-54, 55-64,≥65) in both sexes. Irt screening the rural population, a sample of l,000-2,000 commune members were selected from each county and the figures obtained from the counties were pooled in each prefecture to represent the prevalence rate for that prefecture. The size of the sample population screened in each prefecture was about 12,000 people of dif- ferent age groups and both sexes. The screen- ing was carried out during August, September and October in 1979 0r 1980. All provinces, municipalities and autonomous regions with the exception of Taiwan, completed the na- tion-wide sample hypertension screening according to plan. The total number of people screened was 4,012,128 from 90 cities and 208 prefectures. Prevalence rates of hypertension in the national minority races were obtained in a number of regions in Xin- jiang, Qinghai, Yunnan, Sichuan, Jilin, Tibet, etc* Comparative figures bet.ween the Han people and the minority nationalities in the same region were aLso secured in some of the provinces and autonomous regions.     

北京石景山区心血管病人群防治五年工作报告

1975～1979年在石景山区建立心血管病防治区开展高血压、脑卒中、冠心病调查研究和人群防治。按我国抽样普查(按WHO标准)该区15岁以上人群高血压患病率为8.11％,在全国普查中为较高发区。经过治疗管理,高血压控制率可达70％,脑卒中在全区统计中尚未见明显下降,但在一个人民公社26,000人口中,脑卒中死亡卒五年间下降23％。急性心肌梗塞的死亡率有上升趋势。