基层中医药提升在老年人健康管理中的作用分析  

Analysis of the role of primary Traditional Chinese Medicine promotion in the health management of the elderly

作　　者：许方明 都紫微 梁珍珍 Xu Fangming;Du Ziwei;Liang Zhenzhen(Huangdu Community Health Service Center,Anting Town,Jiading district,Shanghai 201804,China)

机构地区：[1]上海市嘉定区安亭镇黄渡社区卫生服务中心,上海201804

出　　处：《首都食品与医药》2025年第10期113-115,共3页Capital Food Medicine

摘　　要：目的通过分析某地区老年人体检结果,研究基层中医药服务提升在老年人健康管理中的作用。方法选取2024年1月-2024年8月,在上海市嘉定区安亭镇黄渡社区卫生服务中心同一社区卫生服务站辖区内接受健康体检的老年人,其中将接受常规健康管理的人群列为对照组,对接受强化中医药融入到常规健康管理的人群列为观察组,对收集的体检数据进行比较分析。结果两组人群在性别及年龄结构、身高、体重、腰围、臀围、腰臀围比上无明显差异,P>0.05,但在体质指数上观察组小于对照组,有明显差异,P<0.05;在收缩压、舒张压上,观察组与对照组无明显差异,P>0.05,但在心率上观察组低于对照组,有明显差异,P<0.05;观察组中,空腹血糖、甘油三酯、血清谷草转氨酶、血清谷丙转氨酶、总胆红素的指标与对照组无明显差异,P>0.05;而在糖化血红蛋白、血清低密度脂蛋白、血清高密度脂蛋白、血清肌酐、尿素、血尿酸指标上,观察组与对照组有明显差异,P<0.05。结论中医药在某些直接体态和代谢指标上的短期效应不明显,但其在调节体脂比例、优化心脏功能、改善血脂谱和肾功能等方面的显著优势不容忽视,应进一步探索基层医疗机构应用中医药的机制,优化干预方案,并关注其长期效应。Objective To study the role of Traditional Chinese Medicine(TCM)service promotion in the health management of the elderly by analyzing the physical examination results of the elderly in a certain area.Methods From January 2024 to August 2024,the elderly people who underwent physical examination in the same community health service station of Huangdu Community Health Service Center,Anting Town,Jiading District,Shanghai were selected.Among them,the people who received routine health management were set as the control group,and the people who received enhanced Traditional Chinese Medicine integrated into routine health management were set as the observation group.The collected physical examination data were compared and analyzed.Results There was no significant difference in gender and age structure,height,weight,waist circumference,hip circumference,waist-hip ratio between the two groups(P>0.05),but body mass index in the observation group was lower than that in the control group(P<0.05).There was no significant difference in systolic blood pressure and diastolic blood pressure between the two groups(P>0.05),but the heart rate in the observation group was lower than that in the control group(P<0.05).In the observation group,there was no significant difference in fasting blood glucose,triglyceride,serum aspartate aminotransferase,serum alanine aminotransferase and total bilirubin between the two groups(P>0.05).There were significant differences in glycosylated hemoglobin,serum low density lipoprotein,serum high density lipoprotein,serum creatinine,urea and blood uric acid between the observation group and the control group(P<0.05).Conclusion The short-term effects of TCM on some direct body posture and metabolic indicators are not obvious,but its significant advantages in regulating body fat ratio,optimizing heart function,improving blood lipid profile and renal function should not be ignored.The specific mechanism of TCM in primary medical institutions should be further explored,the intervention program should be o

关 键 词：基层医疗机构 中医药 老年人 健康管理 

分 类 号：R94[医药卫生—药剂学]