厦门市集美区>65岁老年人慢性病体检资料分析  

Analysis of physical examination data of chronic diseases in elderly population in Jimei District of Xiamen City

作　　者：邱映华 连真忠 邱志敏 李标雄 方琳颖 QIU Ying-hua;LIAN Zhen-zhong;QIU Zhi-min;LI Biao-xiong;FANG Lin-ying(Department of Chronic Diseases,Jimei District Center for Disease Control and Prevention,Xiamen 361022,P.R.China)

机构地区：[1]厦门市集美区疾病预防控制中心慢病科,福建厦门361022 [2]厦门市集美区卫生健康局医管科,福建厦门361022

出　　处：《社区医学杂志》2020年第2期77-80,共4页Journal Of Community Medicine

摘　　要：目的随着老龄化进程不断加快,我国已经成为老年人口最多的国家之一。本研究分析>65岁老年人体检结果,了解厦门市集美区老年人群主要慢性病患病情况,为制定慢性病防控策略及合理分配卫生资源提供依据。方法选择2018年厦门市集美区参加体检的>65岁本地户籍老年人作为研究对象,体检项目包括病史、身高、体质量、血压、血糖、生化检查和腹部超声等,对其体检资料进行统计分析。结果厦门市集美区>65岁老年人高血压病、血脂异常、超重/肥胖和糖尿病患病率分别为56.37%、46.39%、40.63%和20.69%。超声检查异常前3位分别为肝脏病变4875例(34.84%)、胆囊病变1885例(13.47%)和肾脏病变604例(4.32%);男性脾脏病变高于女性,差异有统计学意义,χ^2=72.36,P<0.05。女性血脂异常(χ^2=69.87,P<0.01)、超重/肥胖(χ^2=22.57,P<0.01)及肾功能异常率(χ^2=81.68,P<0.01)均高于男性,差异有统计学意义。患有≥1种慢性病的老年人占86.82%,女性患多种慢性病数量高于男性,差异有统计学意义,χ^2=50.11,P<0.01。结论高血压、血脂异常、肥胖和糖尿病等代谢性疾病越来越多的影响老年人健康,>4/5老年人群患≥1种慢性病,慢性病负担不断加重。OBJECTIVE With the acceleration of the aging process,China has become one of the country with the largest number of elderly people.This study analyzes physical examination in the residents aged≥65 years.To understand the prevalence of major chronic diseases in the elderly,provide scientific basis for the prevention and control of chronic diseases and for the rational allocation of health resources.METHODS The subjects of this study were elderly people over65 years old who participated in physical examination in Jimei District of Xiamen City in 2018.The items of physical examination included medical history,height,body mass,blood glucose,blood sugar,biochemical examination and abdominal ultrasound.The data of physical examination were analyzed statistically.RESULTS The prevalence rates of hypertension,dyslipidemia,overweight/obesity and diabetes mellitus were 56.37%,46.39%,40.63%and 20.69%respectively in the elderly aged over 65 years in Jimei District of Xiamen City.The top 3 abnormalities of B-ultrasounds were liver disease4875(34.84%),gallbladder disease 1885(13.47%),and kidney disease 604(4.32%).The spleen lesions were higher in men than in women,χ^2=72.36,P<0.05.The rates of dyslipidemia(χ^2=69.87,P<0.01),overweight/obesity(χ^2=22.57,P<0.01)and renal dysfunction(χ^2=81.68,P<0.01)in women were higher than those in men,with statistical significance.86.82%of the elderly suffered from more than one chronic disease.The number of female suffered from multiple chronic diseases was higher than that of male,the difference was statistically significant,χ^2=50.11,P<0.01.CONCLUSIONS hypertension,dyslipidemia,overweight/obesity and diabetes are having more and more effects on the health of the olds.More than four-fifths of elderly suffer from at least one chronic diseas,the burden of chronic diseases is increasing.

关 键 词：老年人 健康体检 高血压 肥胖 糖尿病 

分 类 号：R592[医药卫生—老年医学] R181.3[医药卫生—内科学]