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对北京房山区5 个乡10 余万人进行了心血管病社区人群综合防治研究,干预措施以健康教育和高血压防治为主,对1992 ~1997 年高血压防治结果进行分析。结果显示,1995年和1997 年两次复查的干预区高血压管理率均比对照区高(p<005)。1995 年和1997 年干预区高血压服药率明显高于对照区(p<005),女性差别更显著(p< 001)。1992~1995 年,干预区人群的血压呈下降趋势,而对照区人群的收缩压呈上升趋势,舒张压呈下降趋势;1995 ~1997 年,干预区和对照区人群血压都有上升;1992 ~1997 年,干预区人群血压有净下降,收缩压和舒张压的净下降分别为008 和013kPa。结果提示,以健康教育和高血压防治为主的综合干预措施使农村社区人群的高血压管理率和服药率提高,人群血压水平下降
A comprehensive prevention and treatment study was conducted on more than 10 million people in 5 townships in Fangshan District of Beijing. The intervention measures focused on health education and hypertension prevention. The results of the prevention and control of hypertension from 1992 to 1997 were analyzed. The results showed that the rate of hypertensive management was higher in the intervening areas in 1995 and 1997 than in the control area (p<005). In 1995 and 1997, the incidence of hypertension medication was significantly higher in the intervention zone than in the control zone (p<005), and the difference was more pronounced in women (p<001). From 1992 to 1995, the blood pressure of the intervening population showed a downward trend, while the systolic pressure of the population in the control area showed an upward trend, and the diastolic pressure showed a downward trend. From 1995 to 1997, the blood pressure of both the intervention area and the control area increased; 1992 to 1997 In the year, there was a net decrease in blood pressure in the intervening population, and the net decrease in systolic and diastolic blood pressure was 008 and 013kPa, respectively. The results suggest that comprehensive interventions focusing on health education and hypertension control increase the management rate of hypertension and the rate of taking drugs in rural communities, and the blood pressure level of the population decreases.