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目的 评价上海市南汇区“筛检 高危人群干预策略”的脑卒中综合干预效果。方法 1 999年初对上海市南汇区 696 558人口进行卒中现况调查 ,并对该区 1 996年～ 1 998年间脑卒中发病和死亡患者的资料进行回顾性核对调查 ;从中选择 35岁及以上具有 1种或 1种以上脑卒中危险因素暴露者进行脑血管血液动力学指标 (CVHI)检测 ,CVHI总积分 <70分者被筛选为重点干预人群。在人群中实施卒中综合干预措施、基础干预措施为全民健康教育 ,积极控制高血压、糖尿病等主要危险因素 ,重点干预对象另加服脑安胶囊。随访监测 1 998年以后卒中发生情况 ,评价“筛检 高危人群干预策略”的脑卒中干预效果。结果 1 996年～ 2 0 0 0年全区 35岁以上人群脑卒中的年发病率分别为 2 67.69/ 1 0万、2 79.1 4 / 1 0万、2 81 .78/ 1 0万、1 91 .0 4 / 1 0万和 1 67.41 / 1 0万 ;1 996年～ 1 998年干预前的年平均发病率为 2 76 .2 1 / 1 0万 ,1 999年～ 2 0 0 0年干预后的年平均发病率为1 79.2 5/ 1 0万 ,干预后比干预前的年平均发病率下降了 35 .1 0 % ,其中干预后第 1年和第 2年的发病率比干预前分别下降了 30 .84%和 39.39% ,干预第 2年又在干预第 1年的基础上继续下降了 1 2 .37%。结论 实施“筛检 高危人群干预”策略两年?
Objective To evaluate the effect of comprehensive intervention on stroke in Nanhui District, Shanghai. Methods In early 1999, a survey was conducted on the prevalence of stroke in 696,558 people in Nanhui District, Shanghai. The data of patients with stroke and death from 1996 to 1998 in this area were retrospectively surveyed. Among them, 35-year- Cerebral vascular hemodynamic parameters (CVHI) were detected in 1 or more stroke risk factors and those with a CVHI score of <70 were screened as key interventions. Comprehensive interventions for stroke were implemented in the population. The basic interventions were health education for all, positive control of major risk factors such as hypertension and diabetes, and the key interventions were supplemented with Naogan capsule. The incidence of stroke after 1 1998 was followed up to assess the effect of stroke intervention on “Intervention Strategies for Screening High-Risk Populations.” Results The annual incidence rates of stroke over the age of 35 from 1996 to 2000 were 2 67.69 / 100 000, 2 791 4/10 000, 2 81.78 / 100, 1 91 Respectively. The average annual incidence of pre-intervention from 1996 to 1998 was 2 76. 2 1/10000 and from 1999 to 2000 After the intervention, the average annual incidence rate was 1 79.2 5/100 000, which was 35.1% lower than that before the intervention. The incidence of the first year and the second year after the intervention were respectively lower than those before the intervention Decreased by 30.84% and 39.39% respectively. In the second year of intervention, the number of interventions continued to decline by 12.37% on the basis of the first year of intervention. Conclusion The implementation of “screening high-risk groups intervention” strategy for two years?