北京房山社区心血管病综合防治对脑卒中发病率和死亡率的影响

目的：探索在我国农村社区人群中降低脑卒中发病率和死亡率的有效措施。方法：从1991年开始,在北京房山农村社区的5个乡12万人口中,采取全人群与高危人群相结合的防治策略,以健康教育和积极控制高血压为主要手段。开展农村社区心血管病综合防治研究。结果：1992－1999年房山农村社区脑卒中平均发病率,干预区为235．23／10万,一般干预区为289．22／10万,平均死亡率干预区为80．63／10万,一般干预区为98．01／10万,干预区脑卒中平均发病率和死亡率分别比一般干预区低18．67％（P＜0．01）和17．73％（P＜0．01）;与一般干预区相比,干预区人群脑卒中发病率净下降126．13／10万（P＜0．01）。1999年与1992年相比,干预区和一般干预区脑卒中发病率分别上升11．63％和75．27％,脑卒中死亡率分别下降46．80％和22．82％。结论：房山农村社区心血管病综合防治对控制人群脑卒中的发病和死亡有明显作用,但脑卒中发病率上升的趋势还未得到根本遏制。

The effect of Beijing Fangshan Cardiovascular Prevention Program on the incidence and mortality of stroke

Objective To explore potential effective measures for lowering incidence and mortality of stroke in rural community population of China.Methods Beijing Fangshan Cardiovascular Prevention Program(BFCP),under whole population and high risk individuals strategies with measures of health ed ucation and hypertension control,were launched in1991in five communities including intervention co mmun it-ies(IC),about 66000residents,and control communities(CC),about 54000residents,in Fangshan,Beijing suburb.Result Incidences of stroke averaged235.23per100000and289.22per100000,for IC and CC respectively,with a statistically significant difference,and mortalities of stro ke averaged80.63per100000and98.01per100000,for IC and CC respectively,with a statistically significant difference,during years of1992to1999.The net change of stroke incidence was126.13per100000in IC versus CC,with a statistically significant difference.Incidences of stroke increased by11.63%and75.27%,for IC and CC respectively,while mortalities of stroke decreased by46.80%and22.82%,respectively,for IC and CC from years of1992to1999.Conclusion BFCP has yielded obvious effect on controlling incidence and mortality of stroke in rural community population,but the trend of stroke incidence increasing was still not restrained radically.