兰州市中老年居民健康体检结果及健康管理模式分析  

Analysis of health examination results and health management model of middle-aged and elderly residents in Lanzhou City

作　　者：王晶[1] 李兴杰[1] 孙小平 田雯雯 李志勇[2] WANG Jing;LI Xingjie;SUN Xiaoping;TIAN Wenwen;LI Zhiyong(Healthy Examination and Management Center,Lanzhou University Second Hospital,Lanzhou,Gansu,730030,China;Department of Vascular Surgery,Lanzhou University Second Hospital,Lanzhou,Gansu,730030,China)

机构地区：[1]兰州大学第二医院健康管理中心,甘肃兰州730030 [2]兰州大学第二医院血管外科,甘肃兰州730030

出　　处：《当代医学》2023年第30期119-122,共4页Contemporary Medicine

基　　金：甘肃省自然科学基金(21JR11RA121);甘肃省青年科技基金计划(21JR7RA422)。

摘　　要：目的分析兰州市中老年居民健康体检结果及健康管理模式。方法选取2018年1月年至2020月12月兰州大学第二医院健康管理中心体检的156934名45岁以上体检者作为研究对象。收集研究对象的临床资料,统计体检者主要疾病分布,比较男女所患疾病占比。结果156934名体检者中,屈光不正占69.25%,慢性咽炎占63.09%,牙结石占56.31%,腰椎和/或颈椎退行性改变占48.60%,颈椎病和/或腰椎病占44.85%,眼底动脉硬化占42.46%。男性慢性咽炎、牙结石、颈椎病和/或腰椎病、白内障、脂肪肝、心电图异常、超重/肥胖、高血压/血压增高、高脂血症/血脂增高、糖尿病/糖代谢异常、代谢综合征、肾脏疾病、颈动脉疾病及其他占比均高于女性,屈光不正、腰椎和/或颈椎退行性改变、心电图异常、甲状腺疾病、胆囊疾病及肿瘤占比均低于女性,差异有统计学意义(P<0.05);男女眼底动脉硬化占比比较差异无统计学意义。结论不同性别的疾病患病率具有差异性,应根据不同性别引导高危人群监测血压、控制体质量、改变其生活习惯及饮食习惯,开展以“健康”为中心的管理,加强完善分组分层的健康管理模式的干预及管理,有效减少疾病的发生。Objective To analyze the health examination results and health management mode of middle-aged and elderly residents in Lanzhou.Methods 156934 people over 45 years old who underwent physical examination in the Health Management Center of the Second Hospital of Lan-zhou University from January 2018 to December 2020 were selected as the research subjects.The clinical data of the subjects were collected,the dis-tribution of the main diseases of the subjects was counted,and the proportion of diseases between men and women was compared.Results Among 156934 subjects,ametropia accounted for 69.25%,chronic pharyngitis accounted for 63.09%,dental calculus accounted for 56.31%,lumbar and/or cervical degenerative changes accounted for 48.60%,cervical spondylosis and/or lumbar disease accounted for 44.85%,and fundus arteriosclerosis accounted for 42.46%.The proportions of chronic pharyngitis,dental calculus,cervical spondylosis and/or lumbar disease,cataract,fatty liver,ab-normal electrocardiogram,overweight/obesity,hypertension/hypertension,hyperlipidemia/hyperlipidemia,diabetes/abnormal glucose metabo-lism,metabolic syndrome,kidney disease,carotid artery disease and other diseases in males were higher than those in females,and the proportions of ametropia,lumbar and/or cervical degenerative changes,abnormal electrocardiogram,thyroid disease,gallbladder disease and tumor were lower than those in females,with statistically significant differences(P<0.05);there was no significant difference in the proportion of fundus arteriosclero-sis between men and women.Conclusion The prevalence of diseases in different genders is different.According to different genders,high-risk groups should be guided to monitor blood pressure,control weight,change their living habits and eating habits,carry out'health'centered manage-ment,strengthen and improve the intervention and management of the health management model of grouping and stratification,and effectively reduce the occurrence of diseases.

关 键 词：兰州市 中老年人 健康体检 健康管理模式 

分 类 号：R19[医药卫生—卫生事业管理]