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1、北京農(nóng)民高血壓患者干預(yù)前后靜息心電圖明尼蘇達(dá)編碼對比分析北京農(nóng)民高血壓患者干預(yù)前后靜息心電圖明尼蘇達(dá)編碼對比分析2010-09-07汪紅 吳錫桂 陳百玲 張嘯飛謝寶元 郝鳳霞 顧東風(fēng) 【摘要】 目的 探討心腦血管病社區(qū)綜合性干預(yù)對人群心電圖的影響。評價干預(yù)效果。方法 1991～1992年,對北京郊區(qū)35～74歲農(nóng)民1833人做有關(guān)心腦血管病危險因素調(diào)查，三年干預(yù)后對2710人進(jìn)行復(fù)查。采用WHO推薦使用的靜息心電圖明尼蘇達(dá)編碼方法，將兩次心電圖結(jié)果進(jìn)行對比分析。結(jié)果 主要異常碼和次要異常碼的發(fā)生率在干預(yù)區(qū)由基線時的14.88％和31.28％，分別降至復(fù)查時的12.59％和30.76％；在
2、對照區(qū)由基線時的9.97％和27.44％，分別升至復(fù)查時的11.51％和35.17％（P<0.001）。經(jīng)過干預(yù)后，女性編碼率的降低幅度大于男性，尤以4-.5-碼為顯著由12.2％和22.3％分別降至7.2％（P<0.01）和18.6％，而在對照區(qū)4-.5-碼由基線時的5.8％和10.7％分別升至復(fù)查時的8.7％（P<0.05）和17.3％（P<0.001）。結(jié)論 心腦血管病人群干預(yù)是有效的，女性較男性顯著?！ 娟P(guān)鍵詞】 高血壓 心電描記術(shù) 明尼蘇達(dá)編碼Comparisonoftherest-ECGMinnesotacodingsbetweenpre-andpost-interven
3、tioninthepopulationoffarmersinaBeijingsuburbFangshan WangHong,WuXigui,ChenBailing,etal.CardiovascularInstituteandFuWaiHospital.CAMSandPUMC,Beijing100037 【Abstract】 Objective ToinvestigatetheeffectsofinterventionontheECGMinnesotacodinginthepopulationofFangshan(oneofBeijingsuburbs)farmers.Methods
4、Theinvestigationofcardio-andcerebrovasculardiseaseriskfactorswereperformedin1833farmerswithage35-74yearsin1991-1992.Afterthree-yearintervention,2710peoplewereresearchedagain.TheWHO-recommendedrest-ECGMinnesotacodingrateswerecomparedbeforeandafterthree-yearinterventioninthisstudy.Results Intheinter
5、ventiongroup,themajorandminorabnormalitycodeswere14.88%and31.28%atbaseline,andreducedto12.59%and30.76%after3-yearinterventionrespectively.Inthecontrolgroup,themajorandminorabnormalitycodeswereincreasedfrom9.97%and27.44%atbaselineto11.51%and35.17%after3-yearnon-interventionrespectively(P<0.001).Aft
6、er3-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%to17.3%(P<0.0
7、01).Conclusion Theseresultsshowedthatcommunityinterventionhascertainbeneficialeffectsoncardio-andcerebrovasculardiseasedemonstratedbyECGMinnesotacodingrate,especiallyinfemalewhichmaybeduetotheirgoodcomplianceduri
