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目的 研究社区综合性预防对人群脑血管病危险因素的影响。方法 1990～ 2 0 0 0年在长沙市城区 10万自然人群 (按整群抽样分为干预区和对照区 )中开展社区综合性预防研究 ,2 0 0 0年、1997年、1995年和 1992年分别于研究人群中抽样检查血压和血脂等脑血管病的危险因素。结果 经过近 10年干预后 ,干预区居民人均甘油三酯降低、高密度脂蛋白升高、另外女性居民还有人均舒张压降低 ;而对照区居民人均收缩压和舒张压以及血清总胆固醇均增高。结论 脑血管病社区综合防治有效 ,但存在性别差异。
Objective To study the impact of community-based prevention on the risk factors of cerebrovascular disease in the population. Methods From 1990 to 2000, a comprehensive community-based prevention study was conducted in 100,000 natural populations in urban areas of Changsha city (divided into intervention areas and control areas by cluster sampling). In 2000, 1997, 1995 and 1992 Year were sampled in the study population, blood pressure and blood lipids and other risk factors for cerebrovascular disease. Results After nearly 10 years of intervention, per capita triglycerides and high-density lipoprotein were decreased in the intervention area, meanwhile, the average diastolic blood pressure of female residents was lower than that in the control group; while the per capita systolic and diastolic blood pressure and serum total cholesterol . Conclusion Comprehensive prevention and treatment of cerebrovascular disease is effective, but there are gender differences.