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目的 评价中山市古镇社区人群慢性非传染性疾病 (慢性病 )综合防治的效果 ,探讨农村社区开展慢性病综合防治的工作模式。方法 1997年 12月～ 1998年 5月分别采用随机整群抽样和三阶段固定样本随机抽样方法抽取中山市古镇社区 6 92 0名 2 0～ 74岁常住居民进行了慢性病的基线调查和KAP问卷调查 ,随后对全镇 6 3万人口采取了以社区为基础的慢性病综合干预 (内容包括高血压管理、控烟、全民健身运动、全民爱国卫生运动、合理膳食及糖尿病管理 )、监测和评价活动。结果 (1) 1997～ 2 0 0 2年人群高血压防治及控烟、全民健身运动等方面的知识水平和健康行为有上升趋势 (P <0 0 1) ;(2 )全社区人群高血压的患病率由 1998年的 16 99%下降到 2 0 0 0年的 15 16 %和2 0 0 2年的 13 4 8% ;(3)高血压的管理率和控制率均呈逐年上升趋势 ,分别由 1997年的 2 5 6 6 %、 4 4 3%上升到 2 0 0 2年的 80 5 0 %、 4 5 80 % ,差异均具有显著性意义 (P <0 0 1) ;(4)社区人群脑卒中的发病率和死亡率呈逐年下降的趋势 ,分别由 1997年的 136 90 / 10万和 93 6 3/ 10万下降到 2 0 0 2年的 115 83/ 10万和 6 9 90 / 10万 ,6年来分别减少了 2 1 0 7/ 10万和 2 3 73/ 10万 (P <0 0 5 ) ;(5 ) 1997～ 2 0 0 2年居民?
Objective To evaluate the effect of comprehensive prevention and control of chronic non-communicable diseases (chronic diseases) in Guzhen community of Zhongshan City and explore the mode of carrying out comprehensive prevention and treatment of chronic diseases in rural communities. Methods From December 1997 to May 1998, 6 92 0 permanent residents aged 20 ~ 74 years old in Guzhen community of Zhongshan were randomly divided into two groups: randomized cluster sampling and three-stage fixed sample method. The baseline survey and KAP questionnaire Followed by a community-based comprehensive intervention for chronic diseases (including hypertension management, tobacco control, national fitness exercise, national patriotic health campaign, rational diet and diabetes management), monitoring and evaluation activities for 630,000 people in the town. Results (1) The level of knowledge and health behavior of prevention and control of hypertension, tobacco control and national fitness exercise increased from 1997 to 2002 (P <0.01). (2) The prevalence of hypertension The prevalence rate of hypertension dropped from 16 99% in 1998 to 15 16% in 2000 and 13 48% in 2002; (3) The management rate and control rate of hypertension all showed an increasing trend year by year, From 256.6% and 44.3% in 1997 to 80 5 0% and 45 80% respectively in 2002, with significant differences (P <0.01); (4) Community The incidence and mortality of stroke in the population showed a decreasing trend year by year, from 136 90/10 million and 93 6 3/10 million in 1997 to 115 83/10 million and 6 9 90/100 in 2002 respectively. 100,000, respectively, a decrease of 21.07% and 23.7% over the past six years (P <0.05). (5) Residents from 1997 to 2002