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布加勒斯特冠心病多因素预防试验——十年随访:1971 - 1982年

The Bucharest Multifactorial Prevention Trial of Coronary Heart Disease--ten year follow-up: 1971-1982.

作者信息

Steinbach M, Constantineanu M, Georgescu M, Harnagea P, Theodorini S, Galfi L, Damşa T, Schioiu L, Mitu S, Popescu A

出版信息

Med Interne. 1984 Apr-Jun;22(2):99-106.

PMID:6740187
Abstract

The trial begun in 1971 and the paper brings the results after a ten-year follow-up. Both the intervention and control group contained 5000 men with a similar socioeconomic and professional structure; the intervention group was examined every six months in the first 5 years and annually in the second phase. The control group was examined "only after" 5 years and a second time at the final moment. The decreases of the cumulative ten-year incidences were: for hard events--26.7%; for myocardial infarction--20%; for fatal myocardial infarction--52%; for stroke--31%; for cardiovascular mortality--38%; for total mortality--14%. The trend of serum cholesterol and cigarettes/day was downward, but the blood pressure had a rather flat evolution in the intervention group. The control group disclosed also some downward trends.

摘要

该试验始于1971年,本文给出了十年随访后的结果。干预组和对照组均有5000名男性,他们具有相似的社会经济和职业结构;干预组在前5年每6个月检查一次,第二阶段每年检查一次。对照组仅在5年后检查一次,最后再检查一次。十年累计发病率的下降情况为:严重事件——26.7%;心肌梗死——20%;致命性心肌梗死——52%;中风——31%;心血管死亡率——38%;总死亡率——14%。干预组中血清胆固醇和每日吸烟量呈下降趋势,但血压变化较为平稳。对照组也呈现出一些下降趋势。

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