重庆市4364名60岁以上老年人健康体检结果研究  

A cross-sectional study on health status of 4 364 elders in Chongqing

作　　者：龚涛[1] 冉亮[2] 邓学洁[2] 屈小英[2] 刘欣[2] 罗跃[2] 

机构地区：[1]重庆医科大学公共卫生与管理学院营养与食品卫生学教研室,重庆400016 [2]重庆医科大学附属第一医院体检中心,重庆400016

出　　处：《重庆医科大学学报》2011年第12期1504-1509,共6页Journal of Chongqing Medical University

摘　　要：目的:了解老年人群健康状况,为疾病防控提供信息。方法:体格检查,腹部B型超声波、胸部X光检查,血液生化检查,酶法测乙肝血清标志物,χ2检验,SPSS16.0统计软件处理数据。结果:男、女HBsAg阳性率分别为5.75%和5.39%。男性超重和肥胖患病率分别为40.37%和7.64%,女性为35.84%和11.01%。男性高血压、糖尿病、脑动脉硬化、冠心病和脂肪肝患病率分别为43.74%、13.55%、7.36%、5.35%和25.89%,女性为41.85%、9.98%、6.32%、5.10%和27.34%。男性高尿酸血症、高黏血症和血脂异常患病率分别为11.57%、21.03%和45.76%,女性为3.05%、7.45%和58.32%。该男性人群中主要从事体力劳动行业者的慢性病患病率较低,而主要从事脑力劳动行业者的高血压、冠心病和脂肪肝患病率均较其他行业高。该老年女性人群血脂异常患病率甚高。该人群的男性糖尿病、高尿酸血症和高黏血症的标化患病率高于女性,而女性血脂异常标化患病率高于男性。结论:该老年人群慢性病患病高,控制血脂异常、高血压和超重对慢性病防控尤为重要。建议在社区水平对老年人开展健康教育,提供合理膳食及体力活动建议。Objective:To investigate the health status of 4 364 elders in Chongqing in order to provide the evidence for the prevention and control of diseases.Methods: Physical examination,type-B ultrasonography,X-ray examination,enzyme-linked immunosorbent assay(ELISA) for enzymatic determination of cholesterol oxides were performed on this population.Chi-square test and SPSS16.0 software were used for data analyses.Results: The positive percentage of HBsAg was 5.75% in males,5.39% in females.The prevalences of overweight,obesity,hypertension,diabetes,cerebral arteriosclerosis,coronary artery heart disease,fatty liver,hyperuricaemia and dyslipoproteinemia were respectively 40.37%,7.64%,43.74%,13.55%,7.36%,5.35%,25.89%,11.57%,and 45.76% in males,35.84%,11.01%,41.85%,9.98%,6.32%,5.10%,27.34%,3.05%,and 58.32% in females.The standardized prevalence rates of hypertension,diabetes,cerebral arteriosclerosis,coronary artery heart disease and fatty liver were higher in male mental workers than in blue-collar workers.The standardized prevalence rates of diabetes and hyperuricaemia were higher in male elders than in female elders.The standardized prevalence rate of dyslipoproteinemia was lower in male elders than in female elders.Conclusion:The epidemic of chronic diseases is more serious in this population than in general population.Control of dyslipoproteinemia,hypertension and overweight is more important to prevent and control chronic diseases.Health education,dietary guide and physical activity in community are recommended for elders.

关 键 词：老年人 健康体检 慢性疾病 体质指数 高血压 糖尿病 动脉硬化 脂肪肝 乙型病毒性肝炎 

分 类 号：R575.5[医药卫生—消化系统]