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目的了解河南省郑州市某社区慢性非传染性疾病的患病情况,为开展社区健康促进服务、制订切实可行的防治规划提供依据。方法采用单纯随机抽样的方法收集2010年以来河南省郑州市凤凰台社区实行片医制度建立健康档案的1 036名18岁以上常住居民的体检资料分析高血压、糖尿病、肥胖或超重和血脂异常4种主要慢性病的分布情况。结果高血压、糖尿病、肥胖、超重和血脂异常的患病率分别为15.83%、6.40%、9.75%、35.91%、44.88%。高血压患者的知晓率、治疗率和控制率分别为95.73%、87.80%和64.30%,糖尿病患者的知晓率、治疗率和控制率分别为48.45%、34.23%和26.89%,血脂异常患者的知晓率、治疗率和控制率分别为18.67%、11.43%和9.80%。结论该社区糖尿病、血脂异常、超重的患病率高于全国的平均水平,高血压和糖尿病患者的知晓率、治疗率和控制率高于全国的平均水平。该社区实行片医制度取得了一定成效。
Objective To understand the prevalence of chronic non-communicable diseases in a community in Zhengzhou City, Henan Province, and provide the basis for promoting community health services and formulating practical prevention and control plans. Methods A total of 1 036 permanent residents over the age of 18 living in Phoenix County, Zhengzhou City, Henan Province, were enrolled in this study. The data of hypertension, diabetes, obesity or overweight and dyslipidemia were collected. The distribution of major chronic diseases. Results The prevalence rates of hypertension, diabetes, obesity, overweight and dyslipidemia were 15.83%, 6.40%, 9.75%, 35.91% and 44.88% respectively. The awareness rate, treatment rate and control rate of hypertensive patients were 95.73%, 87.80% and 64.30% respectively. The awareness rate, treatment rate and control rate of diabetic patients were 48.45%, 34.23% and 26.89% respectively. The patients with dyslipidemia were aware Rates, treatment rates and control rates were 18.67%, 11.43% and 9.80% respectively. Conclusion The prevalence of diabetes, dyslipidemia and overweight in this community is higher than the national average. The awareness rate, treatment rate and control rate of hypertension and diabetes are higher than the national average. The community medical system has achieved some success.