北京农民高血压患者干预前后静息心电图明尼苏达编码对比分析

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1、北京农民高血压患者干预前后静息心电图明尼苏达编码对比分析北京农民高血压患者干预前后静息心电图明尼苏达编码对比分析2010-09-07汪红　吴锡桂　陈百玲　张啸飞谢宝元　郝凤霞　顾东风　　【摘要】　目的　探讨心脑血管病社区综合性干预对人群心电图的影响。评价干预效果。方法　1991～1992年,对北京郊区35～74岁农民1833人做有关心脑血管病危险因素调查，三年干预后对2710人进行复查。采用WHO推荐使用的静息心电图明尼苏达编码方法，将两次心电图结果进行对比分析。结果　主要异常码和次要异常码的发生率在干预区由基线时的14.88％和31.28％，分别降至复查时的12.59％和30.76％

2、；在对照区由基线时的9.97％和27.44％，分别升至复查时的11.51％和35.17％（P<0.001）。经过干预后，女性编码率的降低幅度大于男性，尤以4-.5-码为显著由12.2％和22.3％分别降至7.2％（P<0.01）和18.6％，而在对照区4-.5-码由基线时的5.8％和10.7％分别升至复查时的8.7％（P<0.05）和17.3％（P<0.001）。结论　心脑血管病人群干预是有效的，女性较男性显著。　　【关键词】　高血压　　心电描记术　　明尼苏达编码Comparisonoftherest-ECGMinnesotacodingsbetweenpre-andpost-inte

3、rventioninthepopulationoffarmersinaBeijingsuburbFangshan　　WangHong,WuXigui,ChenBailing,etal.CardiovascularInstituteandFuWaiHospital.CAMSandPUMC,Beijing100037　　【Abstract】　Objective　ToinvestigatetheeffectsofinterventionontheECGMinnesotacodinginthepopulationofFangshan(oneofBeijingsuburbs)farmers.Me

4、thods　Theinvestigationofcardio-andcerebrovasculardiseaseriskfactorswereperformedin1833farmerswithage35-74yearsin1991-1992.Afterthree-yearintervention,2710peoplewereresearchedagain.TheWHO-recommendedrest-ECGMinnesotacodingrateswerecomparedbeforeandafterthree-yearinterventioninthisstudy.Results　In

5、theinterventiongroup,themajorandminorabnormalitycodeswere14.88%and31.28%atbaseline,andreducedto12.59%and30.76%after3-yearinterventionrespectively.Inthecontrolgroup,themajorandminorabnormalitycodeswereincreasedfrom9.97%and27.44%atbaselineto11.51%and35.17%after3-yearnon-interventionrespectively(P<

6、0.001).After3-yearintervention,theabnormalcoderatedecreasedmoreinfemalethaninmalewhichespeciallydecreasedinMinnesota4-code(STabnormalities)from12.2%to7.2%(P<0.01),andin5-code(Twavechanges)from22.3%to18.6%.Incontrolgroup,abnormalcoderatein4-codeincreasedfrom5.8%to8.7%(P<0.05)andin5-codefrom10.7%t

7、o17.3%(P<0.001).Conclusion　Theseresultsshowedthatcommunityinterventionhascertainbeneficialeffectsoncardio-andcerebrovasculardiseasedemonstratedbyECGMinnesotacodingrate,especiallyinfemalewhichmaybeduetotheirgoodcomplianceduri