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目的对社区人群进行了为期十年的脑卒中综合性干预研究。方法分两阶段对5万人群进行综合性干预研究,包括社区高血压的管理、强化的健康教育、社区干预模式的建立及基层队伍的培训等诸多方面。结果社区高血压人群管理率达到50%～65%,高血压控制率达到77.2%,近1/3人群血压控制在正常值水平,脑卒中发病率、死亡率与对照组相比较有明显的差别。结论在我国城市社区心脑血管病高发人群中,进行大规模、系统社区综合性预防,降低心脑血管病发病率、死亡率有着重要意义。
Objective To conduct a comprehensive study on stroke for 10 years in community population. Methods A total of 50 000 population interventions were conducted in two phases, including management of community hypertension, intensive health education, establishment of community intervention model and training of grassroots teams. Results The management rate of community hypertension was 50% -65% and the rate of hypertension control was 77.2%. The blood pressure was controlled at normal level in nearly one third of the population. The incidence of stroke and mortality were significantly different from those in control group . Conclusion It is of great significance to carry out large-scale comprehensive prevention of community-based community and reduce the incidence of cardiovascular and cerebrovascular diseases and death rate among the high incidence of cardiovascular and cerebrovascular diseases in urban communities in our country.