CAJ | 학술논문

目的：调查北京市 M 区成年人的慢性病患病情况，分析主要慢性病的特征，探讨慢性病的防范策略.方法采用多阶段分层随机整群抽样调查 M 区9个乡镇4个街道的3602例19~79岁成年人，调查内容包括调查问卷、血生化检测和体格测量.结果成人高血压和血脂异常的标化后患病率分别达到29．2％和22．91％；骨关节病和糖尿病的标化后患病率分别达到14．74％和10．3％.城乡居民的高血压、血脂异常、糖尿病、冠心病和恶性肿瘤的患病率均没有显著性差异.超重和肥胖组的居民分别占调查人口的37．13％和16．56％，肥胖组的高血压、血脂异常、骨关节病和糖尿病的患病率分别达到54．77％、41．34％、22．44％和20．85％.结论高血压、糖尿病、血脂异常和肥胖等慢性病仍是 M 区疾控预防控制工作的重点，男性和肥胖人群是主要慢性病的重点发病人群，需要同等重视城市和农村居民的慢病风险干预和控制.
목적：조사북경시 M 구성년인적만성병환병정황，분석주요만성병적특정，탐토만성병적방범책략.방법채용다계단분층수궤정군추양조사 M 구9개향진4개가도적3602례19~79세성년인，조사내용포괄조사문권、혈생화검측화체격측량.결과성인고혈압화혈지이상적표화후환병솔분별체도29．2％화22．91％；골관절병화당뇨병적표화후환병솔분별체도14．74％화10．3％.성향거민적고혈압、혈지이상、당뇨병、관심병화악성종류적환병솔균몰유현저성차이.초중화비반조적거민분별점조사인구적37．13％화16．56％，비반조적고혈압、혈지이상、골관절병화당뇨병적환병솔분별체도54．77％、41．34％、22．44％화20．85％.결론고혈압、당뇨병、혈지이상화비반등만성병잉시 M 구질공예방공제공작적중점，남성화비반인군시주요만성병적중점발병인군，수요동등중시성시화농촌거민적만병풍험간예화공제.
Objectives To investigate and analyze the prevalence of chronic diseases among adults in M District of Beijing city,and to put forward prevention strategies.Methods Totally 3 602 adults aged 18 to 79 were randomly selected with stratified multi-stage cluster sampling method in 9 towns and 4 street of M District.The questionnaire interview,physical examination and laboratory tests were carried out to collect data.Results The standardized mor-bidity rate of hypertension,dyslipidemia,osteoarthrosis and diabetes were 29.2%,22.91%,14.74% and 10.3%, respectively.There were no significant difference between urban and rural adults in the prevalence rate of hyperten-sion,dyslipidemia,diabetes,coronary heart disease and cancer.Overweight and obese group adults accounted for 37.13% and 1 6.56% of the population surveyed respectively.The morbidity rate of hypertension,dyslipidemia,os-teoarthrosis and diabetes of obese group reached 54.77%,41.34%,22.44% and 20.85%,respectively.Conclusions Hypertension,diabetes,dyslipidemia and obesity are still major task of chronic disease control in M.Male and obese are the key population in chronic disease management.The disease risk intervention and control in urban and rural areas should be paid the same attention.