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<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">选用国产药物，通过良好管理，一年仅花</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">30</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">元，就能有效控制高血压、预防脑卒中。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">由中国医科大学孙英贤等人历时</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">9</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">年完成的《我国农村高血压流行趋势及低成本综合干预预防脑卒中研究》，提出了一套适合我国北方农村实际情况的高血压、脑卒中防治措施。该成果近日获</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">2010</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">年度国家科技进步奖二等奖。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">该研究调查了我国辽宁省</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">4.5</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">万名农村居民，其中高血压患病率高达</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">37.8%</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">，高血压年发病率明显高于</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">20</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">世纪</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">90</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">年代。由此推断，我国农村高血压发病出现骤升态势。与此同时，我国北方农村地区脑卒中患病率极高，</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">35</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">岁以上人群达</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">2560/10</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">万，相比以往呈明显增高趋势。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">进一步研究表明，造成脑卒中的主要原因为高血压，而目前我国农村高血压控制率仅为</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">1.1%</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">。研究提示，必须提高高血压控制率，否则在不久的将来，其并发症脑卒中患病人数将会骤增，成为农村严重的社会问题。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">按目前我国高血压治疗模式，人均年医疗费用超过千元，而控制率仅为</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">6.1%</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">。为此，该研究提出了一套适合我国北方农村实际情况的控制高血压、预防脑卒中的治疗及管理模式。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">该研究选用双氢克尿噻和尼群地平及卡托普利等国产药物，通过良好的管理，高血压控制率已达到美国近期结果，有效率达</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">86%</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">，脑卒中发病率下降</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">60%</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">，而该方案全年药费仅为</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">30</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">元。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">该研究在实施中，对</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">20</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">余万名农村</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">35</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">岁以上居民包括部分高血压患者进行了系统的健康教育。经过跟踪随访，高血压人群的血压明显下降，高血压控制率显著提高。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">目前，我国每位高血压患者年花相关药费达</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">1200</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">元</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">~1800</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">元。而最新统计显示，</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">2010</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">年前三季度，我国农民人均现金收入约为</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">4869</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">元，那么人均年收入只有</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">6000</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">余元，由此计算，高血压药费要占农民年收入的</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">19%-28%</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">如果一位农村高血压患者每年花费</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial">30</SPAN><SPAN style="COLOR: black; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial">元便可控制血压，从而有效减少脑卒中等疾病的发病率，提高的不仅是个人的健康水平和生活质量，更可节约本已有限的医疗资源，使其产生更大的健康效益。</SPAN><SPAN lang=EN-US style="COLOR: black; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
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