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目的了解山东省中西部地区农村居民血压水平的变化情况,评价人群干预措施血压控制效果。方法2007～2010年,在山东省中西部农村地区开展为期3年的慢病控制项目。2007年进行基线调查,按照多阶段随机抽样的方法,选取山东省中西部8个县(市、区),对25岁以上的农村常住人口进行问卷调查、体格及血压测量。干预期间对干预人群进行以合理膳食、适量运动、戒烟限酒等为核心内容的健康教育。2010年进行终期评估调查,干预组来自于基线的干预人群,对照组来自于非干预人群,分别进行与基线相同的问卷调查、体格及血压测量。利用2007年基线数据和2010年终期评估数据进行评价分析。结果 2007年基线调查人群平均收缩压、舒张压分别为134.46、83.50 mmHg,干预后2010年干预人群收缩压、舒张压分别为132.47、80.80 mmHg,对照人群为133.54、81.12 mmHg,2010年干预人群收缩压、舒张压较2007年基线水平明显下降(P<0.05);2010年干预人群血压低于2010年对照人群,但差异无统计学意义(P>0.05);干预前后男性收缩压、舒张压下降幅度大于女性,高年龄组高于低年龄组。结论慢病社区综合干预措施对降低及控制人群血压产生一定效果,男性及老年人群干预效果相对明显,中年劳动力人群干预措施需要进一步加强。
Objective To understand the changes of blood pressure in rural residents in the central and western regions of Shandong Province and evaluate the effect of interventions on blood pressure control. Methods From 2007 to 2010, a 3-year chronic disease control project was carried out in the rural areas of central and western Shandong Province. In 2007, a baseline survey was conducted. According to the multistage random sampling method, 8 counties (cities and districts) in the central and western Shandong Province were selected to conduct questionnaire survey, physical examination and blood pressure measurement of rural residents over 25 years of age. During the intervention period, the intervention group should carry out health education with the core content of reasonable diet, moderate exercise, smoking cessation and alcohol restriction. A final assessment survey was conducted in 2010, with the intervention group coming from a baseline intervention population and the control group coming from a non-intervention population, with the same questionnaire, physical and blood pressure measurements as baseline. Use 2007 baseline data and 2010 final assessment data for evaluation analysis. Results The average systolic blood pressure and diastolic blood pressure in the 2007 baseline survey were 134.46 and 83.50 mmHg, respectively. After intervention, the systolic and diastolic blood pressure of the intervention population in 2010 was 132.47 and 80.80 mmHg, respectively, and the control population was 133.54 and 81.12 mmHg. (P <0.05). The blood pressure of intervention population in 2010 was lower than the control population in 2010, but the difference was not statistically significant (P> 0.05). Before and after the intervention, systolic blood pressure and diastolic blood pressure were decreased The magnitude is higher than that of women, the higher age group is higher than the lower age group. Conclusion The community-wide interventions for chronic diseases have a certain effect on reducing and controlling blood pressure of the population, the effect of intervening in the male and the elderly is relatively obvious, and the intervention measures of the middle-aged labor force need to be further strengthened.