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[非传染性疾病流行病学与预防的近期趋势及新数据]

[Recent trends in and new data on the epidemiology and prevention of non-communicable diseases].

作者信息

Boytsov S A

机构信息

National Research Center for Preventive Medicine, Ministry of Health of Russia, Moscow, Russia.

出版信息

Ter Arkh. 2016;88(1):4-10. doi: 10.17116/terarkh20168814-10.

Abstract

Mortality from non-communicable diseases (NCDs) in the country varies considerably among its regions and social strata of the population. The main reason for providing inadequate conditions for a healthy lifestyle is that the state and municipal authorities and employers pay insufficient attention to the role of socioeconomic risk factors for NCDs. Only an analysis of the reasons for changing mortality rates allows the correct course of actions to reduce mortality to be chosen and a national plan for the control of NCDs to be worked out. The important mechanisms for improving the prevention of NCDs are to make better cardiovascular risk stratification systems, to introduce telemonitoring the status of the patients followed up, and to interface the prophylactic medical examination of elderly patients with a geriatric service. The design of long-acting drugs is a promising way to increase the patients' motivation to control blood pressure and blood cholesterol levels.

摘要

该国非传染性疾病(NCDs)导致的死亡率在不同地区和社会阶层中存在很大差异。为健康生活方式提供的条件不足的主要原因是国家和市政当局以及雇主对非传染性疾病的社会经济风险因素的作用关注不够。只有分析死亡率变化的原因,才能选择正确的降低死亡率的行动方针,并制定国家非传染性疾病控制计划。改善非传染性疾病预防的重要机制包括建立更好的心血管风险分层系统、引入对随访患者状况的远程监测,以及将老年患者的预防性体检与老年护理服务相衔接。长效药物的研发是提高患者控制血压和血液胆固醇水平积极性的一种有前途的方法。

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