社区人群心脑血管疾病干预前后主要死亡原因变化分析

目的 了解综合干预前后社区人群主要死亡原因变化情况。方法 1991～2000年在北京、上海、长沙3个城市的干预社区采用全人群与高危人群相结合的心脑血管疾病综合防治策略,监测该社区人群死亡原因,与对照社区人群的主要死亡原因作比较。结果 2个社区10年平均死亡率为699.8/10万,对照社区(719.6/10万)高于干预社区(681.8/10万)。总死亡率近年来都有下降,干预社区下降幅度明显高于对照社区。干预社区导致死亡的前3位病因分别为心脏病、肿瘤、脑血管病,而对照社区的脑血管病超过了肿瘤,列第2位。2个社区的脑卒中急性期死亡率均下降,但干预社区下降幅度明显大于对照社区;其他原因而致的心脑血管疾病的死亡率在干预社区也均下降,而对照社区基本无变化。结论 对社区人群心脑血管疾病危险因素的综合干预,可成为降低心脑血管疾病死亡率的有效措施。

Changes in main causes of death in community population after cardio-and cerebrovascular intervention

Objective To study the changes in main causes of death in the community population after comprehensive intervention.Methods A comprehensive cardio- and cerebrovascular intervention strategy was implemented for the community with both population approach and high-risk approach during 1991 to 2000.Their main causes of death of population were monitored,as compared with those in the control community.Results Overall mortality averaged 699.8 per 100 000 in the intervention community,lower than that in the control one (719.6 per 100 000),during 1991 to 2000,with a statistically significant difference.In recent years,overall mortality decreased in the two communities,but significantly more did in the intervention community.The top three causes of death in the intervention community were heart disease,cancer and cerebrovascular disease,but in the control community its mortality of cerebrovascular disease exceeded that of cancer,ranking the second place in causes of death.Mortality of stroke during its acute stage decreased in both communities,but significantly more did in the intervention community.Mortality of other cardio- and cerebrovascular disease,also,decreased in the intervention community,but not in the control one.Conclusion Comprehensive cardio- and cerebrovescular intervention for the community population had been effective measures to lower cardio- and cerebrovascular mortality.