目的:通过对首钢社区高血压患者实行早期干预的研究,探讨高血压早期干预与脑卒中的发病率和病死率的关联性。方法:对1974～2001年间高血压、脑卒中的发病及死亡病历,按国际规定采用MONICA方案进行登记。在首钢社区进行全人群疾病监测,同时采取综合干预措施和高危人群管理。结果:血压值与脑卒中发病率呈正相关;长期、综合的干预措施,可以降低人群高血压发病率,进而降低脑卒中发病率和死亡率。结论:社区高血压早期干预对脑卒中预防具有十分重要的作用。 OBJECTIVE: To study the early intervention of hypertension in Shougang community to explore the association between early intervention of hypertension and stroke morbidity and mortality. Methods: The incidence of hypertension, stroke and medical record of death from 1974 to 2001 were registered according to international regulations with MONICA protocol. In the Shougang community for disease surveillance of the whole population, while taking comprehensive interventions and high-risk population management. Results: There was a positive correlation between the blood pressure and the incidence of stroke. Long-term and comprehensive interventions could reduce the incidence of hypertension and reduce the incidence of stroke and mortality. Conclusion: Early intervention of community hypertension plays a very important role in the prevention of stroke.