江苏金坛农村心血管病危险因素的趋势

目的了解近15年金坛农村心血管病危险因素的变化趋势。方法分别于1984年、1992年和1998年随机抽取35～59岁者做心血管病危险因素调查(实际调查人数男女分别为974/1147、491/616、496/636人)。结果从1984年到1998年,男女血压分别从119/74mmHg(1mmHg＝0.133kPa)、119/73mmHg增加到126/80mmHg、125/77mmHg;血清总胆固醇从3.15mmol/L、3.20mmol/L增加到4.86mmol/L、4.76mmol/L;男女高血压患病率从13.9%、12.7%增加到24.7%、19.2%;男性饮酒率从43.1%增加到63.8%;1998年糖尿病患病粗率男女分别为8.1%、9.3%。结论金坛农村主要心血管病危险因素呈上升趋势,应加以干预。

Trends for Cardiovascular Risk Factors in a Rural Community of Ji n Tan County

Objective:To clarify secular trends for cardiovascular risk factors in Jin Tan County,Jiangsu Province. Methods:Three cross sectional survey of cardiovascular risk factors were carried out in a rural community (the sample size of male/female aged from 35 to 59 were 974/1 147,491/616,and 496/636,respectively,in 1984,1992,and 1998). Results:Between 1984 and 1998,mean systolic and diastolic blood pressure (SBP/DBP) rose significantly,from 119/74 mmHg to 126/80 mmHg in men and from 119/73 mmHg to 125/77 mmHg in women;mean serum cholesterol (TC) levels increased from 3 15,3 20 mmol/L to 4 86,4 76 mmol/L in men and women;prevalence of hypertension for male and females increased significantly from 13 9%,12 7% to 24 7%,19 2%;In 1998,prevalence of diabetes mellitus for men and women were 8 1%,9 3%,respectively. Conclusion:Major cardiovascular risk factors significantly increased in rural area of Jin Tan in recent 15 years;Intervention strategy must be reinforced.