广州市海珠区居民慢性疾病谱的建立及其意义  

Significance of establishing chronic disease spectrum of residents in Haizhu District,Guangzhou

作　　者：宋叶[1] 朱凯星[1] 于海波[1] 庄晓霞[1] 

机构地区：[1]广州市海珠区疾病预防控制中心,广州510288

出　　处：《公共卫生与预防医学》2012年第4期39-41,共3页Journal of Public Health and Preventive Medicine

摘　　要：目的分析了解广州市海珠区居民慢性病的疾病谱及其分布特征,为制定慢性病预防控制规划及政策提供依据。方法采用多阶段分层整群随机抽样方法,以入户面访方式,对海珠区2009年40 053例常住居民健康体检资料进行慢性病学流行现状分析。结果慢性病总患病率为51.46%,慢性病患病率无明显性别差异,但在年龄分布上,从45岁组开始患病率明显上升。位于前10位的慢性病病种依次为:高血压(29.44%)、高脂血症(16.44%)、糖尿病(8.19%)、高尿酸血症(5.93%)、冠心病(4.96%)、痛风(4.36%)、慢性鼻炎(4.26%)、骨质增生(3.74%)、慢性胃炎(2.11%)、脑卒中(1.76%)。这10类慢性病占慢性病患病总人次数的81.19%。在患有慢性病的11 824人中,有44.38%的人同时患有2种及以上的慢性病。结论社区慢性病患病率较高,其中高血压,高脂血症和糖尿病是海珠区居民的主要慢性病。慢性疾病谱的建立将有助于加强社区监控及及规范化治疗。Objective To investigate the chronic disease spectrum and characteristics of residents in Haizhu District of Guangzhou,and provide scientific basis for chronic disease control and prevention.Methods 40053 residents from Haizhu district were investigated by multistage cluster sampling.Household survey with questionnaire was carried out.Chronic diseases were self-reported.Results The total prevalence rate of chronic diseases was 51.46%,and there was no significant difference between male and female.The prevalence rate significantly increased with rising of age above 45 years old.The top ten of chronic diseases were： hypertension（29.44%）,hyperlipemia（16.44%）,diabetes mellitus（8.19%）,hyperuricemia（5.93%）,coronary heart disease（4.96%）,gout（4.36%）,chronic rhinitis（4.26%）,hyperosteogeny（3.74%）,chronic gastritis（2.11%）and cerebral apoplexy（1.76%）,occupying 81.19% of the total,and 44.38 percent of the total had two or more diseases simultaneously.Conclusion The morbidity rate of this district was high.Hypertension,hyperlipemia and diabetes mellitus were the first three among the prevalent chronic diseases,and would be the main diseases need to be under control.

关 键 词：疾病谱 慢性疾病 患病率 流行病学 

分 类 号：R54[医药卫生—心血管疾病]