上海市金山工业区65岁及以上老人健康体检结果分析(1)
摘 要 目的：了解本社區老年人的健康现状，为进一步开展慢性病管理提供依据。方法：2016年7月至8月金山工业区有2 798名65岁及以上老年人参加了体检，其中男性1 205名，平均年龄(72.53±6.09)岁，女性1 593名，平均年龄(72.70±6.19)岁。体检内容主要有血压、空腹血糖、总胆固醇、甘油三脂和肝超声波检查等。结果：有50.4%(530/1 051)的高血压患者血压未达到控制目标(<140/90 mmHg)；既往无高血压病史者中，血压升高的检出率39.1%(610/1 562)。有55.3%(289/523)的糖尿病患者空腹血糖未得到控制目标(<7 mmol/L)；既往无糖尿病史者中的空腹血糖受损和糖尿病的检出率分别为8.6%(194/2 259)和2.6%(59/2 259)。血脂异常检出率为16.4%(457/2 782)。脂肪肝检出率为22.6%(613/2 712)结论：高血压、糖尿病、血脂异常、脂肪肝是社区老年人群最常见的慢性病，50%以上的老年高血压和糖尿病患者血压和血糖未能有效控制，需要全科医生进一步加强慢病的管理、筛查和健康教育。
关键词 社区；老年人；健康体检结果
中图分类号：R194.3 文献标志码：A 文章编号：1006-1533(2017)08-0046-04
Analysis of health examination results of the elderly people aged 65 years and over in Jinshan Industrial Zone of Shanghai
LIU Rui， YANG Danhong
(Jinshan Industrial Zone Community Health Service Center of Jinshan District， Shanghai 201506， China)
ABSTRACTS Objectives： To investigate the health status of the elderly people in this community to provide a basis for further development of chronic disease management. Methods： From June to August 2016， 2 798 elderly people aged 65 years and over participated in the physical examination， among of them there were 1 205 males， with an average age of (72.53±6.09) years old， and 1 593 female with an average age of (72.70±6.19). Physical examination contents mainly included blood pressure， fasting blood glucose， total cholesterol， glycerin three fat and liver ultrasound examinations. Results： Blood pressure of 50.4%(530/1 051) of the patients with hypertension did not reach the control target (<140/90 mmHg). Among the patients without history of hypertension， the detection rate of hypertension was 39.1%(610/1 562). Fasting blood glucose of 55.3%(289/523) of patients with diabetes was not controlled (<7 mmol/L). Among the patients without history of diabetes mellitus， the detection rates of impaired fasting glucose and diabetes mellitus were 8.6%(194/2 259) and 2.6%(59/2 259)， respectively. The detection rate of dyslipidemia was 16.4%(457/2 782). The detection rate of fatty liver was 22.6%(613/2 712). Conclusion： Hypertension， diabetes， dyslipidemia and fatty liver are the most common chronic diseases in the community elderly population， the blood pressure and blood sugar of more than 50% of the elderly patients with hypertension and diabetes failure to be effectively controlled， which need for general practitioners to further strengthen the management of chronic diseases， screening and health education.
KEW WORDS community； elderly people； health physical examination result (刘锐 杨旦红)
关键词 社区；老年人；健康体检结果
中图分类号：R194.3 文献标志码：A 文章编号：1006-1533(2017)08-0046-04
Analysis of health examination results of the elderly people aged 65 years and over in Jinshan Industrial Zone of Shanghai
LIU Rui， YANG Danhong
(Jinshan Industrial Zone Community Health Service Center of Jinshan District， Shanghai 201506， China)
ABSTRACTS Objectives： To investigate the health status of the elderly people in this community to provide a basis for further development of chronic disease management. Methods： From June to August 2016， 2 798 elderly people aged 65 years and over participated in the physical examination， among of them there were 1 205 males， with an average age of (72.53±6.09) years old， and 1 593 female with an average age of (72.70±6.19). Physical examination contents mainly included blood pressure， fasting blood glucose， total cholesterol， glycerin three fat and liver ultrasound examinations. Results： Blood pressure of 50.4%(530/1 051) of the patients with hypertension did not reach the control target (<140/90 mmHg). Among the patients without history of hypertension， the detection rate of hypertension was 39.1%(610/1 562). Fasting blood glucose of 55.3%(289/523) of patients with diabetes was not controlled (<7 mmol/L). Among the patients without history of diabetes mellitus， the detection rates of impaired fasting glucose and diabetes mellitus were 8.6%(194/2 259) and 2.6%(59/2 259)， respectively. The detection rate of dyslipidemia was 16.4%(457/2 782). The detection rate of fatty liver was 22.6%(613/2 712). Conclusion： Hypertension， diabetes， dyslipidemia and fatty liver are the most common chronic diseases in the community elderly population， the blood pressure and blood sugar of more than 50% of the elderly patients with hypertension and diabetes failure to be effectively controlled， which need for general practitioners to further strengthen the management of chronic diseases， screening and health education.
KEW WORDS community； elderly people； health physical examination result (刘锐 杨旦红)