| Objectives(1)To understand the influence factors of cardiovascular and cerebrovascular diseases.in rural elderly of Jincheng in different periods.(2)Through the health education and standardized management of cardiovascular and cerebrovascular diseases form village doctors,evaluate the effect of intervention measures based on average level of blood pressure changes,to provide a reference basis for the development of cardiovascular and cerebrovascular diseases for rural areas with high efficiency and low cost,the prevention management scheme..MethodsThis study is based on health action of china rural,chose two counties from Jincheng city in 2010.,then 12 townships were selected in each county,then chose one village which people more than 1000 form this 12 townships,this village is not the village which has township Health Cente.The project of the village all the villagers were treated with health education.high-risk patients of cardiovascular disease intervented by standardized management.After 2 years of continuous intervention,survey the solution after the intervention and evaluation of risk management.In 2012,2 years after the end of the intervention,follow-up the people who participate in the investigation in the crowd.(1)Scene investigation: based on the list of every village all men over 50 years,female aged over 60 people,according to inclusion and exclusion criteria,using simplerandom sampling method,according to the random number of male,female list order,chose no less than 20 people each village.1056 people were investigated in 2010,1149 people were investigated in 2012,2014,1614 people.were investigated in 2014.(2)The management method of high-risk groups:according to the screening criteria(diagnosied cardiovascular disease by above the county level hospital;male≥50,female≥60 who was diabetic patients;male ≥ 50,female ≥ 60,whose systolic pressure ≥160mm Hg)Select people who meet the conditions into high-risk population standardized management,at the same time established the record of medical management,then follow-up in every month.the intervention included measurement of blood pressure,body weight,medication guidance,health education,etc..;Results(1)It is survey 1056 people in 2010,the prevalence rate was 47.9%;It is survey 1149 people in 2012,the prevalence rate is 50.83%;2014 years of follow-up in 2010 and 2012 were surveyed a total of 1614 people,the prevalence rate was 55.08%.The increase of age,BMI level increased is the common risk factor for cardiovascular disease in different periods,2014 women become the new risk factors for cardiovascular disease.(2)The results show that: in 2010 the survey population mean systolic blood pressure is(147.33±23.43)mm Hg,in 2012 the average systolic blood pressure is(142.27±20.61)mm Hg,in 2014 the average systolic blood pressure is(143.24±21)mm Hg,the difference of mean systolic in three times has significant statistically.(F=17.21,P=0.000).A further comparison,In 2012 the average systolic blood pressure compared to2012 decreased by 5.06 mm Hg,the difference was statistically significant(P < 0.05).In2014 the average systolic blood pressure compared to 2010 decreased by 4.09 mm Hg,the difference was statistically significant(P < 0.05).In 2014 the average systolic blood pressure compared to 2012 increased by 0.97 mm Hg,the difference was not statistically significant(P > 0.05).(3)The standardized management of high risk patients: in these participants,the average systolic pressure of age>65 increased by 8.87 mm Hg than age≤65.men’s averagesystolic blood pressure as low as 2.86 mm Hg than female.BMI increased one grade,the systolic blood pressure increased by 1.58 mm Hg.With the each times of follow up increased,the systolic blood pressure decreased 1.27 mm Hg.The average of taking medication’s systolic blood pressure as low as 12.66 mm Hg than people who not taking medication.The effect of lowering blood pressure is best in the twelfth follow-up,a period of one year.Conclusions(1)The impact factors of cardiovascular and cerebrovascular disease is basically the same in three period,and in 2014 increase one risk factors:female gender.This is due to increase of age,women are more susceptible to cardiovascular and cerebrovascular diseases.(2)In the intervention phase,in lowering blood pressure,smoking,exercise,reduce the intake of pickled food,this four aspects of intervention has effect.After the intervention intervention in the above four aspects still have lasting effects.(3)The management of cardiovascular and cerebrovascular disease performed by village doctors at least 12 months;should also be emphasized standardized medication.in high risk patients. |
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