CAJ | 학술논문

目的通过对北京市城乡结合部农民健康体检中发现的高血压等慢性病进行管理所取得的初步效果进行分析,旨在摸索农民群体的健康管理模式.方法自2002年开始,对辖区内40岁以上的农民进行全民健康体检,对体检发现的高血压患者给予健康评估、危险因素干预.结果 2007-2008年高血压发病率为11.99%,比2002年26.57%的发病率下降了62.36%.脑血管病的死亡人数由占总死亡人数的68.00%下降到了5.26%,高血压导致的脑卒中的发病率、致残率和病死率显著降低.结论以农村基层医院为主体,利用健康体检方式,对人群进行慢性病筛查,再结合农村社区卫生服务网络健康管理模式,大幅度降低了城乡结合部农民高血压脑血管病的发病率、致残率及病死率.
목적 통과대북경시성향결합부농민건강체검중발현적고혈압등만성병진행관리소취득적초보효과진행분석,지재모색농민군체적건강관리모식.방법 자2002년개시,대할구내40세이상적농민진행전민건강체검,대체검발현적고혈압환자급여건강평고、위험인소간예.결과 2007-2008년고혈압발병솔위11.99%,비2002년26.57%적발병솔하강료62.36%.뇌혈관병적사망인수유점총사망인수적68.00%하강도료5.26%,고혈압도치적뇌졸중적발병솔、치잔솔화병사솔현저강저.결론 이농촌기층의원위주체,이용건강체검방식,대인군진행만성병사사,재결합농촌사구위생복무망락건강관리모식,대폭도강저료성향결합부농민고혈압뇌혈관병적발병솔、치잔솔급병사솔.
Objective To analyze the effectiveness of chronic disease management among suburb residents to secure an optimal health management model. Methods Since 2002, physical examinations had been conducted for rural residents aged≥40. Hypertensive patients detected on health check received medical evaluation and risk factor intervention. Results The incidence of high blood pressure decreased from 26.57% in 2002 to 11.99% in 2007-2008. The mortality of cerebrovascular disease declined from 68.00% to 5.26%. The incidence, disability rate, and death rate of hypertension related-stroke were also significantly reduced. Conclusion Primary healthcare center-based chronic disease screening, along with the health management network, can largely decrease the incidence, disability rate, and mortality of stroke associated with high blood pressure.