北京农村老年人慢性病及老年综合征分析  

Prevalence of chronic deseases and geriatric syndrome in Beijing rural elderly people

作　　者：刘淼[1] 何耀[1] 张迪[1] 杨鸿兵 吴蕾[1] 王建华[1] 陈静[2] 王义艳 曾静[1] 姚尧[1] 郭美灵[2] 

机构地区：[1]解放军总医院老年医学研究所流行病学教研室衰老与相关疾病研究北京市重点实验室,北京100853 [2]北京市密云县中医医院

出　　处：《中华老年心脑血管病杂志》2016年第10期1057-1060,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：973课题基金(2013CB530804);北京市科委重大科技课题基金(D121100004912003);解放军总医院苗圃基金项目(13KMM26)

摘　　要：目的应用《社区老年健康综合评估量表》在北京市农村社区分析农村老年人慢性病及老年综合征的患病情况。方法 2014年5~10月在北京市密云县巨各庄镇30个行政村/居委会符合条件的2122例常住老年人,采用《社区老年健康综合评估量表》对该人群进行横断面调查慢性病发生情况,以高血压、糖尿病和血脂异常为慢性病分析指标。最终纳入1836例,合格率86.5%,年龄60~92（69.4±6.8）岁,其中男性713例,女性1123例。结果女性老年人慢性病患病率明显高于男性（64.1%vs 35.9%,P=0.000）,总人群中,患病率最高的慢性病为慢性疼痛,高达23.9%。女性患有≥2种老年综合征比例明显高于男性（19.2%vs 10.5%,P〈0.01）。通过老年健康综合评估,入选者高血压、糖尿病、血脂异常的检出率分别提高了14.9%、13.2%和29.1%。51.3%老年人患有老年综合征。结论通过开展社区老年健康综合评估,能显著提高农村老年人主要慢性病的检出率,发现重要的老年综合征和主要健康危险因素。Objective To analyze the prevalence of chronic diseases and geriatric syndrome in Beijing rural elderly people according to the Community Comprehensive Geriatric Health Assessment Scale.Methods The prevalence of chronic diseases and geriatric syndrome in 30 villages of Miyun County was investigated according to the Community Comprehensive Geriatric Health Assessment Scale.A total of 1836 community elderly people aged 60-92（69.4±6.8）years were included in this study.Results The prevalence of chronic dieases was significantly higher in elderly females than in elderly males（64.1% vs 35.9%,P=0.000）.The prevalence of chronic pain was23.9%,which was higher than that of other chronic diseases.The prevalence of ≥2geriatric sydromes was significantly higher in females than in males（19.2%vs 10.5%,P〈0.01）.The detection rate of hypertension,diabetes mellitus and dyslipidemia increased 14.9%,13.2% and29.1% respectively,and 51.3% of the elderly people suffered from geriatric syndrome.Conclusion Comprehensive health assessment of community elderly people can effectively increase the detection rate of their major chronic diseases and the risk factors for geriatric syndrome.

关 键 词：慢性病 综合征 心血管疾病 高血压 糖尿病 血脂异常 健康状况 危险因素 

分 类 号：R592[医药卫生—老年医学]