蚌埠市龙子湖区7271例社区65岁以上老年人体检结果分析

目的分析2017年龙子湖区老年人体检人群中高血压患病率及其他体检指标情况，为该区人群疾病防治和保健工作提供依据。方法收集龙子湖区7个乡镇共计7 271例65岁及以上老年人的体检数据，从性别、年龄、高血压及相关生化指标方面进行分析。结果7 271例调查对象中高血压、糖尿病的患病率分别为54.11%、21.24%，男性老年人谷氨酸氨基转移酶（ALT）、总胆固醇（TC）、三酰甘油（TG）、血清低密度脂蛋白胆固醇（LDL-C）、血清高密度脂蛋白胆固醇（HDL-C）异常率均低于女性，血清肌酐（Cr）、血尿素氮（BUN）异常率高于女性（P < 0.01）。不同年龄组老年人高血压患病率、体质量指数（BMI）、FPG、ALT、Cr、BUN、TC、TG异常率，不同BMI组老年人高血压、糖尿病患病率、FPG、ALT、AST、Cr、BUN、TC、TG、LDL-L、HDL-L异常率，不同文化程度老年人高血压患病率、BMI、AST、TC、TG、LDL-C、HDL-C异常率，差异均有统计学意义（P < 0.05~P < 0.01）。结论辖区内老年人高血压、糖尿病患病率较高，分别为54.11%和21.24%，健康状况不容乐观，建议基层医疗机构的全科医生要高度重视体检结果异常者的复查和转诊工作，同时加强针对性的健康教育，积极控制相关健康危险因素，对确诊的慢性病病人进行规范管理。

Analysis on the physical examination results of 7 271 elderly people aged 65 and over in Longzihu district of Bengbu city

ObjectiveTo analyze the prevalence of hypertension and other physical examination indicators of elderly people in Longzihu district of Bengbu city in 2017, so as to provide the scientific basis for the prevention and treatment of disease in the area.MethodsThe health examination data of 7 271 elderly people aged 65 and over from 7 villages and towns in Longzihu district were collected, and the gender, age, hypertension and related biochemical indicators were analyzed.ResultsAmong the 7 271 subjects, the prevalence of hypertension and diabetes were 54.11% and 21.24%, respectively.The abnormal proportions of the levels of alanine aminotransferase (ALT), total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) in male elderly people were significantly lower than those in female cases (P < 0.01), and the abnormal rates of Cr and BUN levels in male elderly people were higher than those in female cases (P < 0.01).The differences of the prevalence of hypertension, and abnormal rates of BMI, FPG, ALT, Cr, BUN, TC and TG levels among different age groups, the prevalence of hypertension, and abnormal rates of FPG, ALT, AST, Cr, BUN, TC, TG, LDL-C and HDL-C levels among different BMI groups, and the prevalence of hypertension, and abnormal rates of BMI, AST, TC, TG, LDL-C and HDL-C levels among different education level groups were statistically significant (P < 0.05 to P < 0.01).ConclusionsThe prevalence of hypertension and diabetes among the elderly people in the district is higher, which is 54.11% and 21.24%, respectively, and the health condition is not optimistic.The elderly people with abnormal physical examination should be reviewed and transfered by the general practitioners of primary medical institution.Strengthening the targeted health education, active controlling the related health risk factors and standardizing the management of the patients with chronic diseases should be implemented.