某市干部人群“三高”疾病患病情况及其健康干预需求的调查分析  

The investigation and analysis of “three highs” chronic illnesses prevalence and demand for health interventions in Inner Mongolia region's mid-aged population

作　　者：郭润珍 崔秀格 王舒一 陆英杰 席娜 海荣 Guo Runzhen;Cui Xiuge;Wang Shuyi(Cadre Health Clinic of Inner Mongolia People＇s Hospital,Hohhot 010017,China)

机构地区：[1]内蒙古自治区人民医院干部保健所,呼和浩特010017

出　　处：《中华保健医学杂志》2018年第3期181-183,共3页Chinese Journal of Health Care and Medicine

基　　金：国家自然科学基金(81460223);内蒙古自治区科技厅计划基金项目(201602098);内蒙古自治区人民医院博士基金项目(BS2015015)

摘　　要：目的对内蒙古地区中老年人群的重点慢性病(高血压病、糖尿病、高血脂症)患病情况、健康干预需求进行调查分析,为慢性病的健康管理提供理论依据。方法选取2016年1月~12月在内蒙古自治区人民医院体检科体检的924名40岁以上的中老年干部人群,体检前进行问卷调查,了解其健康随访需求情况,然后对体检结果、健康随访需求进行回顾性分析。结果 924名体检者中,高血压病的检出率为41.3%,糖尿病的检出率为18.3%,高血脂症的检出率为49.9%,均高于全国平均水平。年龄≤80岁的体检人群中,高血压、糖尿病、高脂血症的患病率与年龄呈正相关。40~60岁体检人群中,男性的高血压和糖尿病患病率明显高于女性,而女性人群的高脂血症患病率却远远高于男性,与年龄无关。需求问卷分析结果示,人们对健康管理的需求随着年龄的增长而增加,40~60岁人群的需求最低,仅有12%;80岁以上人群的需求率最高,达70.4%。结论内蒙古地区中老年人群的重点慢性病患病率高于全国慢性病患病率水平,应加强该地区人群慢性病的健康管理,60岁以下的在职干部人群保健意识淡薄,是慢性病个体化健康管理的重点人群。Objective To investigate the prevalence of key chronic diseases（hypertension,diabetes and hyperlipidemia） and the demand for health intervention in the middle-aged and elderly populations in Inner Mongolia,and provide a theoretical basis for the health management of chronic diseases. Methods A total of 924 middle-aged and elderly people undergoing physical examinations in the People＇s Hospital of the Autonomous Region（January to December,2016） were enrolled. A questionnaire was completed before the physical examination to get each subject＇s health follow-up requirements. Retrospective analysis was performed on physical examination results and health follow-up requirements. Results The prevalences of hypertension,diabetes and hyperlipidemia were 41.3%,18.3% and 49.9% in the 924 subjects,all of which were higher than the national average. For subjects of80 years or older,the prevalences of hypertension,diabetes and hyperlipidemia were positively correlated with age. For subjects of 40 to 60 years old,the prevalences of hypertension and diabetes were significantly higher in men than in women,but the prevalence of hyperlipidemia was much higher in women instead,regardless of age. Analysis of questionnaire showed that the demand for health management increased with age. The demand was lowest in people of 40-60 year old,achieving only 12%;the demand was highest in people over 80,reaching 70.4%. Conclusion The prevalence of key chronic diseases in the middle-aged and elderly population in Inner Mongolia is higher than the national average. Health management of chronic diseases in the population should be strengthened.The awareness of active health care under 60 years of age is weak,which is the key population for individualized health management of chronic diseases.

关 键 词：高血压病 糖尿病 高血脂症 干部人群 健康管理 

分 类 号：R592[医药卫生—老年医学]