上海县心血管病监测区人群危险因素水平的变化

参照世界卫生组织(WHO)心血管病人群监测方案,于1983年和1986年秋季,在上海县监测区进行两次心血管病危险因素的抽样调查,结果显示三个主要危险因素——高血压、高血脂和吸烟的水平均有明显的下降,其差异在统计学上有非常显著的意义,提示与监测区内同时进行心血管病的防治和人们生活习惯的改变有关。

THE CHANGES OF RISK FACTORS IN CVD MONITORING POPULATION OF SHANGHAI COUNTY

According to the MONICA Project of WHO, two risk factor surveys were completed in 1983 and 1986. In each survey about 1200 subjects aged 35-64 years of both sexs were recruited and measured for indicators of cardiovascular risk and related behavior. Comparing the two surveys, we found that the levels of three main risk factors of coronary heart disease-hypertension, hypercholesterol and cigarette smoking had declined. The prevalence rate of hypertension declined from 14.9% to 7.1% in males and from 15.1% to 5.5% in females. The mean total serum cholesterol declined from 156.7mg/dl to 142.5mg/dl in males and from 160mg/dl to 144.5mg/dl in females. The smoking rate declined from 82.7% to 77.2% in males and from 1.0% to 0.5% in females. These difference were significant statistically. The decline of risk factor levels was considered to be related to the control of hypertension, health education and change of living habit that carried out in this area,