目的:分析朝阳市农村老年高血压的控制情况及其影响因素,为制定农村高血压防控策略提供依据.方法:2017年9月至2018年5月,采用随机分层整群抽样的原则,对辽宁省朝阳市14个行政村的3293名≥60岁农村常住居民进行问卷调查、体格检查和实验室检测,采用多因素Logistic回归分析影响高血压控制率的因素.结果:检出高血压患者2296例.朝阳市农村老年人高血压控制率为4.4％,女性(5.2％)高于男性(3.4％)(P<0.05),多因素Logistic回归分析结果显示,高血压家族史(OR=1.76,95％CI:1.17～2.64)、超重或肥胖(OR=1.81,95％CI:1.17～2.79)、脑卒中(OR=2.63,95％CI:1.65～4.21)和糖尿病(OR=1.65,95％CI:1.04～2.63)人群高血压的控制率较高.结论:朝阳市农村老年人的高血压控制率较低,应对老年人进行高血压早期筛查,加强血压管理,指导其合理用药,有效控制血压.

目的 了解朝阳市农村地区老年人高血压知晓情况,分析其影响因素,为该地区高血压的综合防治提供依据.方法 2017年9月—2018年5月,采用随机分层整群抽样法抽取辽宁省朝阳市14个村全部≥60岁的常住居民进行问卷调查、体格检查和实验室检测,了解高血压患者的知晓率并分析其相关影响因素.结果 朝阳市农村老年人高血压知晓率为50.96％,女性高于男性,多因素Logistic回归分析结果显示,女性、高血压家族史、缺乏运动、超重或肥胖、脑卒中和糖尿病、饮酒是影响高血压知晓率的因素.结论 朝阳市农村老年人高血压知晓率较低,应加强高血压防治知识的宣传力度,定期检测血压水平,及时发现、治疗和规范管理老年高血压.

目的 对2014-2019年朝阳市主城区户籍居民肝癌死亡率进行趋势分析及预测,旨在为制订疾病防控策略提供依据.方法 收集2014-2019年朝阳市主城区居民中死亡原因为“原发性肝癌”的人口死亡数据,采用Joinpoint Regression 4.7.0.0及灰色模型GM(1,1)对肝癌死亡率进行趋势分析及预测.结果 2014-2019年朝阳市主城区居民肝癌年均死亡率为17.43/10万(年均标化死亡率为17.43/10万),男性高于女性,随着年龄的递增,肝癌的死亡率逐渐增加,肝癌死亡率年均上升9.2％,女性死亡率年均上升11.8％,70岁以上人群肝癌死亡率、标化死亡率随年度呈上升趋势,分别上升15.9％及23.9％,差异有统计学意义(P＜0.01);灰色模型GM(1,1)预测显示,2020-2024年男性女性及25 ～49岁人群肝癌死亡率呈上升趋势.结论 近十年,朝阳市主城区居民肝癌死亡率呈持续上升趋势,且死亡状况呈“年轻化”态势,应做好居民防控,最大程度的降低居民肝癌死亡率.

OBJECTIVE To investigate the medical conditions, therapeutic effects and the related factors of patients with epilepsy in rural areas of Fenggang County in Guizhou Province. METHODS One hundred and seventy -five patients were screened out from residents in rural areas of Fenggang county by visiting the patients` family, and then a questionnaire survey was performed. The contents of questionnaire included medical conditions, therapeutic effects, medical expenditures and the degree of life satisfaction, etc. RESULTS Medical conditions of patients with epilepsy in rural areas of Fenggang County were worried. Only 77.1% of patients went to hospital to be diagnosed.20% of patients did not take any medical measures. The patients were worrying about the poor effect (90.9%) and high medical expense (46.3%). In patients receiving drug therapy, 38.8% of patients did not show any therapeutic effects. 60% patients were unable to afford the treatment costs. 45.7% patients were not satisfied with the current state of life. CONCLUSION The standardized diagnosis and treatment should be set as soon as possible and strongly promoted. The government should focus on the lives of people with epilepsy.

Objective To investigate the efficacy of Phenobarbital in the treatment of convulsive epilepsy in the rural areas of Guizhou Province and,explore a feasible regimen for the treatment of patients with epilepsy in rural areas. Meth-ods Patients with convulsive epilepsy were first screened by local general physicians with basic training in epilepsy and was then confirmed by local neurologists. The patients were given phenobarbital monotherapy and followed up by those lo-cal general physicians. Efficacy was evaluated by assessing the percentage reduction in seizure frequency from baseline and the retention of patients on treatment. Results Five hundred and nine patients were included in this study. Two hun-dred forty nine patients completed 12 months' treatment and their seizure frequency was decreased by at least 50%. Pheno-barbital demonstrated good effectiveness in half of the 249 patients at the first month and the total effective rate of pheno-barbital was 71.29%. Medication was well tolerated and reported adverse events were mild. Phenobarbital was more effec- tive in female patients (χ2=6.34,P=0.011) and patients with good compliance(χ2=3.9,P=0.048).Conclusions This phe-nobarbital treatment regimen may be suitable for the treatment of convulsive forms of epilepsy in rural areas of Guizhou. Phenobarbital can significantly reduce seizure frequency without serious adverse events, indicating that general physicians with basic training in epilepsy are able to provide epilepsy patients with appropriate phenobarbital treatment in rural area.

目的:调查贵州省农村惊厥性癫(癎)患者的焦虑、抑郁状态,为农村癫(癎)患者的综合治疗提供依据.方法:采用ZUNG氏抑郁自评量表(SDS)及焦虑自评量表(SAS)对贵州省农村癫(癎)项目县开阳、惠水、凤岗的癫(癎)患者进行调查分析,并以健康成人进行对照.结果:共计305例农村癫(癎)患者完成调查过程,均存在明显的抑郁症状,SDS抑郁评分(55±4.5)分,明显高于健康对照组(37±3.6)分,两组比较差异有统计学意义(P＜0.05),抑郁程度达到中重度抑郁(0.687);癫(癎)患者的SAS评分虽没有达到焦虑的诊断标准,但也明显高于健康对照组.结论:贵州农村惊厥性癫(癎)患者存在明显的抑郁症状,焦虑评分也明显高于健康对照组,农村癫(癎)患者的精神状态应该受到高度重视.

2005年至2011年朝阳市人间布病病例逐年增多,布病疫情防控形势渐趋紧张.全市5县2区均有新发病例报告.流行高峰一般在2～6月份.病例以30～50岁农村男性青壮年为主.

布氏菌病是由布氏菌引起的人畜共患的传染一变态反应性疾病.朝阳市自1997～2001年没有出现人间布病病例.2002年朝阳市喀左县、2004年建平县分别出现了布病暴发疫情.这里将近3年的布病防制工作进行总结分析.

2007年4月20日朝阳市疾控中心接到喀左县报告,该县有一起人间布病暴发疫情,有关疾控人员到现场调查处理,现将处理结果总结如下:

对移动、间断式高温作业评价中高温作业定义、评价标准、测试方法和存在问题等方面进行了探讨。