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本文报告了我国七城市(北京、上海、哈尔滨、长春、郑州、长沙、银川)9757名60岁以上市区居民的高血压干预实验与脑卒中发病率、死亡率关系的前瞻性研究结果。干预组4589人;对照组5168人。对干预组人群实施多种形式的防治高血压知识的宣传教育并对高血压患者进行定期随访,合理饮食,药物治疗等干预措施,而对照组只观察变化,不采取干预措施。干预和观察时间三年。研究结果显示:1.干预组收缩压和舒张压干预后比干预前下降;而对照组却有所上升;2.干预组确诊高血压和临界高血压的比例,干预后比干预前均有下降,而对照组略有上升:3.脑卒中发病率随血压(收缩压或舒张压)的增高而上升;4.干预组脑卒中发病率死亡率都明显低于对照组。结果表明通过干预措施防治高血压是降低脑卒中二率的重要环节。
This article reports the results of a prospective study on the relationship between high blood pressure intervention trials and stroke morbidity and mortality among 9757 urban residents over the age of 60 in seven cities in China (Beijing, Shanghai, Harbin, Changchun, Zhengzhou, Changsha, and Yinchuan). 4589 were in the intervention group and 5168 in the control group. The intervention group was given various forms of publicity and education on the prevention and treatment of hypertension knowledge, and regular follow-up of hypertensive patients, reasonable diet, and drug treatment interventions, while the control group only observed changes and did not take intervention measures. Three years of intervention and observation. The results of the study show that: 1. In the intervention group, the systolic pressure and diastolic pressure decreased after the intervention, but the control group increased. The proportion of hypertension and critical hypertension diagnosed in the intervention group decreased after the intervention than before the intervention, while the control group increased slightly. The incidence of stroke increased with the increase of blood pressure (systolic pressure or diastolic pressure); The incidence of stroke mortality in the intervention group was significantly lower than that in the control group. The results show that prevention and treatment of hypertension through interventions is an important part of reducing the rate of stroke.