邵阳市区慢性非传染性疾病的现况调查与健康管理效果评价

目的 分析邵阳市区成年居民常见慢性非传染性疾病（慢病）患病率及其主要危险因素，制订和评价健康干预措施。方法 通过多阶段分层随机抽样，对邵阳市3个城区26个社区18岁以上的5267名居民进行调查，占邵阳市区总人口的1．24％，调查的内容涉及问卷调查、体格检查、生化检测及肝胆B超检查，并进行健康干预和效果评价。结果 高血压、脂肪肝、胆石症、高血糖、血脂异常、超重肥胖的患病率分别为22．0％、24．2％、7．4％、8．2％、43．7％、47．6％，经干预后高血压、高血糖、血脂异常、超重肥胖分别降至19．6％、5．0％、35．6％、41．1％，差异均有统计学意义（P〈0．05）。结论 邵阳市区成年居民的常见慢病患病率高，通过群体健康管理方案能有效降低患病率。

The cross-sectional study and health management evaluation on chronic diseases in the city zone of Shaoyang

Objectives To analysis the prevalence and major risk factors of common chronic diseases among adult residents in the city zone of Shaoyang. To formulate and evaluate the measures of health intervention. Methods Using multistage stratified random sampling, 5267 residents aged 18 or above from ：26 communities of Shaoyang were invited to participate in the survey, which was 1.24% of Shaoyang municipal residents. Questionnaire, physical examination, biochemistry test and B-uhrasonography on the liver and cholecystis were undertaken. Health intervention and evaluation was undertaken too. Results The prevalence of hypertension, fatty liver, cholelithiasis, high blood sugar, dystipidemia and overweight obesity was respectively 22. 0% , 24. 2% , 7.4% , 8.2% , 43.7% , 47.6%. The prevalence of hypertension, high blood sugar, dystipidemia and overweight obesity was down respectively significatively to 19. 6% , 5.0% , 35.6% and 41.1% after intervention （ P 〈 0. 05 ）. Conclusions There is a high prevalence of common chronic diseases in the city zone of Shaoyang, which can be effectively reduced through health management programme.