南宁市某社区老年人健康体检结果分析  

Analysis of health examination of elderly in a Nanning community

作　　者：黄廖娟 李冬云[1] 曹柳枝 熊枫 梁华明 汤庆军 严钧 杨茜 黄艳益[1] 杨惠超 HUANG Liao-juan;LI Dong-yun;CAO Liu-zhi;XIONG Feng;LIANG Hua-ming;TANG Qing-jun;YAN Jun;YANG Qian;HUANG Yan-y'i;YANG Hui-chao(Fujian Yuan Community Health Service Center,Second Nanning People's Hospital,Nanning 530031,P.R.China)

机构地区：[1]南宁市第二人民医院福建园社区卫生服务中心,广西南宁530031

出　　处：《社区医学杂志》2018年第17期1315-1319,共5页Journal Of Community Medicine

摘　　要：目的随着我国人口老龄化日益加剧,老年人健康问题成为关注的焦点。本研究分析南宁市社区≥65岁老年人健康状况,为开展老年人健康管理提供依据。方法收集2016-01-01-2016-12-31南宁市第二人民医院福建园社区卫生服务中心参加体检的1 650名≥65岁老年人体检资料,并对其体质量指数(body mass index,BMI)、血压、血糖、血液生化和超声等结果进行分析。采用SPSS 19.0对体检数据进行统计学分析,组间比较采用χ~2检验,采用非条件Logistic回归分析高血压的影响因素。结果 1 650名老年体检者中,高血压前期、高血压、糖尿病前期和糖尿病检出率分别为37.27%、46.85%、7.09%和9.76%。≥75岁组高血压检出率为51.72%,高于65～岁组的43.77%和70～岁组的44.28%,χ~2=16.09,P<0.01;女性肥胖检出率为8.80%,高于男性的5.04%,χ~2=10.37,P=0.02;女性血脂异常检出率为56.76%,高于男性的37.39%,χ~2=59.89,P<0.01;女性脂肪肝检出率为40.57%,高于男性的31.16%,χ~2=7.14,P<0.01;男性血常规异常检出率为37.83%,高于女性的20.70%,χ~2=58.47,P<0.01;男性肾功能异常检出率为19.29%,高于女性的9.22%,χ~2=34.96,P<0.01。多因素非条件Logistic回归分析显示,高龄(OR=2.11,95%CI为1.49～3.00,P<0.01)、肥胖(OR=2.38,95%CI为1.22～4.64,P=0.01)和血脂异常(OR=1.50,95%CI为1.12～2.02,P=0.01)是高血压的危险因素。结论高龄、肥胖和血脂异常是≥65岁老年人患高血压的影响因素,提示应针对该人群不同健康特征,采取个性化健康管理措施,延缓慢性疾病进程,提高其生活质量。OBJECTIVE With the aging of China’s population,the health problems of the elderly have become the focus of attention.This study aims to analyze the health status of the elderly aged 65 or above in a community of Nanning,and to provide a basis for the health management of the elderly.METHODS The physical examination data of the elderly aged 65 or above who participated in the physical examination at the Fujian Yuan Community Health Service Center of Second Nanning People’s Hospital from January 1 to December 31,2016 were collected and analyzed including BMI,blood pressure,blood glucose level,blood biochemical indexes,and B-ultrasound inspection.The physical examination data were analyzed by SPSS 19.0 statistical software.The χ~2 test was used for comparison between groups.The influencing factors of hypertension were analyzed by unconditional logistic regression.RESULTS Among the 1 650 elderly subjects,the detection rates of pre-hypertension,hypertension,pre-diabetes,and diabetes were 37.27%,46.85%,7.09%,and 9.76%,respectively.The detection rate of hypertension in the≥75-year-old group(51.72%).was higher than those in 65-years old group(43.77%)and 70-years old group(44.28%),χ~2=16.09,P<0.01.The detection rates of female obesity,dyslipidemia,and fatty liver were 8.80%,56.76%,40.57%,respectively,which were higher than those in males(5.04%,37.39%,31.16%,respectively),andχ~2 values were 10.37,59.89 and 7.14,all P<0.01.The detection rates of male blood routine and renal dysfunction were 37.83% and 19.29%,respectively,which were significantly higher than those of females(20.70% and 9.22%,respectively),andχ~2 values were 58.47 and 34.96,all P<0.01.Multivariate unconditional logistic regression analysis showed that the senility(OR=2.11,95%CI:1.49-3.00,P<0.01),obesity(OR=2.38,95%CI:1.22-4.64,P=0.01),dyslipidemia(OR=1.50,95%CI:1.12-2.02,P=0.01)were risk factors for hypertension.CONCLUSIONS In this study,advanced age,obesity,and dyslipidemia are the influencing factors of hypertension in the elderly aged 65 or above

关 键 词：社区 老年人 健康体检 慢性病管理 

分 类 号：R194.3[医药卫生—卫生事业管理]