干旱区生态环境知识资源中心(Arid): 首都钢铁公司人群心血管病24年干预效果评价

Arid

	首都钢铁公司人群心血管病24年干预效果评价
其他题名	An evaluation on effectiveness of worksite-based intervention for cardiovascular disease during 1974-1998 in capital iron and steel company of Beijing
	吴锡桂 1; 顾东风 1; 武阳丰 1; 于学海 2; 王淑玉 2; 王楠 2; 高玖鸣 1; 段秀芳 1; 周北凡 1; 刘力生 1
来源期刊	中华预防医学杂志
ISSN	0253-9624
出版年	2003
卷号	37 期号:2 页码:93-97
中文摘要	目的探讨心血管病防治策略在我国城市企业人群中实施的可行性及其效果。方法 (1)干预措施：根据危险因素调查的特点，在厂区人群中开展卫生宣教和健康促进，重点加强对高血压患者的管理，在高危人群中推广以减盐为重点的合理膳食结构，指导减重、戒烟及限酒等；(2)效果评价：用非干预研究协作人群作横向比较人群间危险因素水平的变化；用首都钢铁公司(首钢)内干预样本的平行对照比较干预对危险因素的影响。用首钢全人群疾病监测资料来评价脑卒中、冠心病事件发病率和死亡率的变化趋势及其干预效果。结果9组协作人群14年横向对比，除首钢外的8组协作人群男性平均收缩压升高2～11 mm Hg，女性平均升高6～8 mm Hg，首钢男、女性平均下降0．8和4mmHg；5组协作人群男性平均舒张压升高2～6 mmHg，4组女性升高3～6 mm Hg，但首钢男女两性仍保持基线时水平。血清胆固醇水平除首钢男工与石景山男性农民仅轻度升高外，其他7组男性升高在0．35～O．97 mmol／L之间。8组女性胆固醇平均升高在O．29～1．05 mmol／L，但首钢女性却下降了0.26 mmoL／L。另9组人群超重患病率与基线时比较，除首钢仅增加58．7％(男性)和11．3％(女性)外，其他8组则增加1～22倍。平行对照8年干预结果表明，加强干预厂卫生知识水平较一般干预厂提高明显，平均收缩压、舒张压分别净下降2．5和2．2 mm Hg。24年来首钢人群脑卒中发病率和死亡率分别下降了54．7％和74．3％，但冠心病事件的发病率和死亡率还在波动中缓慢上升。结论在我国城市企业人群中开展心血管病的防治不仅是可行的，而且是有效的，但需坚持。
英文摘要	Objective To explore the feasibility and effectiveness of worksite-based cardiovascular disease (CVD) prevention and control program in urban population of China. Methods Worksitee-based intervention program was implemented 110 000 employees at Capital Iron and Steel Company of Beijing (CISC) focusing on primary prevention for CVD and control of hypertension. Intervention components comprised of infrastructure setting-up, health education and health promotion, professional training, detection and management of hypertensive patients, and reasonably readjusting their diet structure focusing on salt intake reduction, reducing their overweight, quitting smoking, and restricting alcohol consumption in high-risk population. Changes in level of risk factors, incidence and mortality of stroke and coronary events and their trend were evaluated between the intervention group at CISC and eight simultaneously parallel reference groups in other provinces outside Beijing with population surveillance data. Results Major risk factors for CVD, including blood pressure, body mass index and serum cholesterol level, decreased relatively in intervention population at CISC during 1974 to 1998, while those in majority of eight parallel reference groups at different provinces of China significantly increased at the same time. Systolic blood pressure (SBP) decreased by 0.8 mm Hg and 4 mm Hg in average for men and women, respectively, and their diastolic blood pressure (DBF) remained the same as baseline for both men and women at CISC,while SBP increased by (2-11) mm Hg and (6-8) mm Hg in average for men and women, respectively in reference groups,and DBF increasedby (2-6) mm Hg in average for men in five of eigtit reference groups,arid by (3-6) mm Hg for women in four of eight reference groups. Serum level of cholesterol decreased by 0.26 mmoi/L in women and slightly increased for men at CISC,and increased by (0.35-0.97) mmol/L for men and (0.29-1 .05) mmol/L for women in all reference groups.Prevalence of overweight increased by 58.7% for men and 11.3% for women at CISC and increased by one to 22 folds in eight reference groups. Awareness of health knowledge improved significantly with an average net reduction of SBP/DBF of (2.5/2.2) mm Hg in the enforced intervention group at CISC than that in general intervention groups. Incidence and mortality rates of stroke decreased by 54.7 % and 74.3 % , respectively in intervention group at CSIC,but those of coronary events slowly increased with fluctuation. Conclusion Worksite-based comprehensive intervention for CVD prevention and control was feasible and cost-effective in decreasing risk factors for CVD,incidence and mortality rate of stroke in population of urban areas of China.
中文关键词	心血管疾病 ; 膳食，限钠 ; 干预性研究
英文关键词	Cardiovascular disease Oiet, Sodium-restricted Intervention studies
语种	中文
国家	中国
收录类别	CSCD
WOS类目	PUBLIC ENVIRONMENTAL OCCUPATIONAL HEALTH
WOS研究方向	Public, Environmental & Occupational Health
CSCD记录号	CSCD:1305957
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/204738
作者单位	1.中国医学科学院中国协和医科大学阜外心血管病医院心血管研究所群体遗传学和人群防治研究室, 北京 100037, 中国; 2.首都钢铁公司总医院
推荐引用方式 GB/T 7714	吴锡桂,顾东风,武阳丰,等. 首都钢铁公司人群心血管病24年干预效果评价[J],2003,37(2):93-97.
APA	吴锡桂.,顾东风.,武阳丰.,于学海.,王淑玉.,...&刘力生.(2003).首都钢铁公司人群心血管病24年干预效果评价.中华预防医学杂志,37(2),93-97.
MLA	吴锡桂,et al."首都钢铁公司人群心血管病24年干预效果评价".中华预防医学杂志 37.2(2003):93-97.