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目的 评价并对比北京城乡人群 1984～ 1993年 10年中 ,心血管病危险因素的变化趋势。方法 于 1984～ 1985年 ,1988～ 1989年和 1993年分别在北京 70万MONICA监测人群中进行了 3次独立的心血管病危险因素调查。分别采用分层随机抽样方法抽取 2 5～ 6 4岁、男女两性的独立样本。对收缩压、舒张压、高血压患病率、知晓率、治疗率、控制率、血清总胆固醇、高密度脂蛋白胆固醇(HDL C)、体重指数 (BMI)、腰围臀围比 (WHR)和吸烟率在城乡中的变化趋势进行了比较。结果 (1)10年中 ,北京城市和农村心血管病危险因素的变化趋势不同 ,城市男性的收缩压、舒张压和高血压患病率下降 ,而农村男性的收缩压、舒张压和高血压患病率均升高 ,其收缩压升高了 4 3mmHg(1mmHg =0 133kPa) ,患病率升高了 3 1个百分点 ;农村男女两性的总胆固醇各升高了 0 37mmol/L和 0 40mmol/L ;(2 )城市女性的收缩压和高血压患病率升高 ,高血压知晓率、治疗率和控制率分别下降了 0 7、2 9 2、37 5个百分点 ;(3)农村女性除吸烟率下降外 ,其它各项指标均呈不良发展趋势。结论 北京城乡人群的多项心血管病危险因素水平呈上升趋势 ,尤其农村危险因素水平高于城市 ,上升趋势更明显 ,在今后的防治工作中应加以重视
Objective To evaluate and compare the trend of risk factors of cardiovascular disease among Beijing urban and rural populations from 1984 to 1993. Methods Three independent risk factors for cardiovascular disease were surveyed in 700,000 MONICA monitoring population in Beijing from 1984 to 1985, from 1988 to 1989 and in 1993 respectively. Stratified random sampling methods were used to separate independent samples from 25 to 64 years old, both men and women. The systolic blood pressure, diastolic blood pressure, the prevalence of hypertension, awareness rate, treatment rate, control rate, serum total cholesterol, high density lipoprotein cholesterol (HDL C), body mass index (BMI), waist-hip ratio The trend of smoking prevalence in urban and rural areas was compared. Results (1) In 10 years, the trend of risk factors of CVD in Beijing urban and rural areas was different. The systolic blood pressure, diastolic blood pressure and the prevalence of hypertension in urban males decreased. However, the systolic blood pressure, diastolic blood pressure and high blood pressure The prevalence of hypertension increased by 43 mmHg (1 mmHg = 0,133 kPa) and the prevalence increased by 31%. The total cholesterol in both sexes in rural areas increased by 37 mmol / L and 0 40 mmol / L; (2) The prevalence of systolic blood pressure and hypertension in urban women increased, and the awareness rate, treatment rate and control rate of hypertension decreased by 0 7,2 9 2,37 5 percentage points respectively; (3) Rural women In addition to the decline in smoking rates, the other indicators showed a poor trend of development. Conclusions The levels of cardiovascular risk factors in urban and rural areas in Beijing are on the rise. Especially in rural areas, the risk factors are higher than those in urban areas, and the upward trend is more pronounced. Therefore, attention should be paid to future prevention and treatment work