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目的 了解盐城市居民高血压、冠心病、脑卒中、慢性阻塞性肺疾病(COPD)、糖尿病及恶性肿瘤等6种主要慢性非传染性疾病的流行现状。方法 2000年10月采用多阶段整群抽样的方法,对盐城市所辖的9个县(市、区)35岁以上、居住5年及以上的居民进行相关的问卷调查和相应的体格调查。使用EPI info6.0进行资料的录入,SPSS8.0统计分析。结果 居民高血压、COPD、冠心病、恶性肿瘤、糖尿病和脑卒中的现患率分别为21.70％、7.09％、1.25％、0.82％、0.62％、0.52％,标化率分别为21.16％、7.12%、1.45%、0.91%、0.70％、0.65%,除恶性肿瘤和糖尿病外,其他病种现患率男性均高于女性;农村居民恶性肿瘤的现患率高于城市居民,其余均以城市居民为高;主要慢性病都有随年龄的增长而呈上升的趋势。结论 高血压、冠心病、脑卒中、COPD、糖尿病和恶性肿瘤等慢性病已成为影响本市居民健康的主要公共卫生问题,其中高血压、恶性肿瘤是当前该市优先干预的慢性病。
Objective To understand the prevalence of six major chronic non-communicable diseases including hypertension, coronary heart disease, stroke, chronic obstructive pulmonary disease (COPD), diabetes and malignant tumors in Yancheng. Methods In October 2000, a multistage cluster sampling method was used to conduct questionnaires and corresponding physical surveys on residents over 35 years of age living in 9 counties (cities and districts) under the jurisdiction of Yancheng City. The use of EPI info6.0 data entry, SPSS8.0 statistical analysis. Results The prevalence rates of hypertension, COPD, coronary heart disease, malignant tumor, diabetes mellitus and stroke in residents were 21.70%, 7.09%, 1.25%, 0.82%, 0.62% and 0.52% respectively. The standardization rates were 21.16%, 7.12% , 1.45%, 0.91%, 0.70% and 0.65% respectively. Except for malignant tumors and diabetes, the prevalence of other diseases was higher in males than in females. The prevalence of malignant tumors among rural residents was higher than that of urban residents, while the rest were from urban residents High; the main chronic diseases are with the increase of age and the upward trend. Conclusions Chronic diseases such as hypertension, coronary heart disease, stroke, COPD, diabetes and malignant tumors have become the major public health problems that affect the health of residents in this Municipality. Hypertension and malignant tumors are the priority chronic diseases in this city.