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心脑血管病尤其是脑卒中和冠心病己成为我国人群死亡主因。1995年上海市心脑血管病防治研究办公室着重在上海市城区7万人口以及农村9万人口的社区试点开展心脑血管病监测,建立由政府与卫生部门参与,基层卫生单位与社区相协作的社区人群心脑血管病防治模式,探讨这种模式的可行性和必要性,并对运用此模式开展的脑卒中和冠心病急性发作发病和死亡的报病结果进行了分析,结果显示1995年上海市城区卒中发病率为380.79/10万,农村为146.63/10万,按1964年我国人口标化后分别为134.08/10万和50.76/10万。城区卒中死亡率为183.45/10万,农村为111.05/10万,其标化率分别为63.17/10万和33.82/10万。急性心肌梗塞发病率城乡分别为30.57/10万和3.23/10万,冠心病死亡率城乡分别为59.76/10万和4.31/10万。此初步结果为今后评估社区心脑血管病防治效果提供基础资料。
Cardiovascular disease, especially stroke and coronary heart disease has become the main cause of death in our population. In 1995, Shanghai Office of Cardiovascular and Cerebrovascular Disease Prevention and Control focused on pilot monitoring of cardio-cerebrovascular diseases in a community of 70,000 in Shanghai’s urban area and 90,000 in rural areas. The government and the health sector are involved in the pilot project to establish a community-based health work unit Community population cardiovascular and cerebrovascular disease prevention and control model to explore the feasibility and necessity of this model, and use of this model to carry out the onset of stroke and coronary heart disease onset and death reported the results were analyzed, the results show that in 1995 in Shanghai The incidence of stroke was 380.79 / lakh in urban areas and 146.63 / lakh in rural areas. According to the population standardization of China in 1964, they were 134.08 / lakh and 50.76 / lakh respectively. Urban death rate of stroke was 183.45 / 100000, 111.05 / 100000 in rural areas, the standardization rates were 63.17 / 100,000 and 33.82 / 100,000. The incidence of acute myocardial infarction in urban and rural areas were 30.57 / 100000 and 3.23 / 10 million respectively. The mortality rate of coronary heart disease was 59.76 / 100000 and 4.31 / 100000 respectively. This preliminary result provides the basic information for the future evaluation of the prevention and treatment effect of cardiovascular and cerebrovascular diseases in the community.