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目的通过对深圳市高血压前期青年人群的社区综合干预,降低该人群的血压值和原发性高血压的发病率。方法依托社区健康服务中心,对深圳市社区青年人群以问卷和体检形式进行基线调查,确认高血压前期青年人群,针对目标人群进行为期2年的以改变生活方式为主的社区综合干预,并评价其干预效果。结果该项目干预的高血压前期青年人数共820例,平均年龄(35±7.3)岁。干预后该人群吸烟率、高盐饮食率均明显下降,参加体育锻炼率显著提高,上述各项指标差异均有统计学意义(P<0.05)。干预后的收缩压均值和舒张压均值,分别较干预前下降了11.0和5.4mmHg,差异有统计学意义(t=14.4、9.0,P均<0.05)。结论对高血压前期青年人群进行以改变生活方式为主的社区综合干预,对降低该目标人群的血压值和原发性高血压的发病率均具有重要意义。
Objective To reduce the population’s blood pressure and the incidence of essential hypertension through comprehensive community intervention in prehypertensive young people in Shenzhen. Methods Relying on the community health service center, a baseline survey was conducted on the community-based youth population in Shenzhen using questionnaires and physical examinations. The pre-hypertension youth population was identified, and community-based interventions aimed at changing lifestyle were conducted for the target population for two years. Its intervention effect. Results A total of 820 pre-hypertensive patients were intervened by this project, with an average age of (35 ± 7.3) years. After the intervention, smoking rate and high-salt diet rate of the population were significantly decreased, participation in physical exercise rate was significantly increased, the above-mentioned indicators were statistically significant difference (P <0.05). The mean systolic and diastolic blood pressure after intervention decreased by 11.0 and 5.4 mmHg compared with those before intervention (t = 14.4 and 9.0, P <0.05 respectively). Conclusion Community-based interventions aimed at changing the life style of young people in prehypertension are of great significance in reducing the blood pressure and the incidence of essential hypertension in this population.