广州市3030名残疾人体检结果分析

Analysis of the health examination results of 3 030 disabled persons in Guangzhou city

目的:了解广州市残疾人的身体健康状况,为残疾人常见疾病的预防提供依据。 方法:对广州市3 030名残疾人进行体格检查,内容包括:内科、外科、五官科、口腔科检查,并做血常规、尿常规、肝功能、乙肝表面抗原及胸透检查;>45岁者增加心电图、血脂分析、空腹血糖检查;已婚女性增加妇科检查。 结果:体检结果显示下列疾病发生率为妇科疾病38.22％,屈光不正40.86％,贫血22.57％,高脂血症39.07％,乙肝表面抗原阳性22.57％,心电图异常52.20％,这些病的发生率高于正常人群;视力残疾、肢体残疾的妇科疾病及高脂血症的发生率高于其他类型残疾,而智力残疾的屈光不正、心电图异常的发生率高于其他类型残疾;残疾程度越重这些疾病的发生率越高。 结论:残疾人群是一个妇科疾病、屈光不正、贫血等6种疾病的高发人 群,不同类型及不同程度的残疾其并发疾病的危险性也不同。

AIM: To investigate the disabled persons' health condition in Guangzhou city, and to provide basis for the prevention of the common disease in disabled persons. METHODS: Totally 3 030 disabled-persons in Guangzhou city took the physical examination. This examination included internal medicine, surgery, department of ENT and stomatology, besides, blood test, urine regular test, liver function, HBsAg and X-ray chest were examined; for those who were over 45 years old, electrocardiograph(ECG), blood lipid and blood glucose were examined; for married women gynecological examination were conducted. RESULTS: The results showed that the incidence rates of gynecological disease(38. 22%), ametropia(40. 86% ), anemia(22. 57% ), hyperlipemia (39. 07% ), positive HBsAg(22. 57% ) and ECG abnormity (52. 20% ) in the disabled persons were higher than in the normal persons. The incidence rates of these diseases were higher than that in the heathy men colony; The occurence rate of gynecological and high blood lipid syndrome in view and limb disabled persons were higher than other disabled persons, while the incidence rates of ametropia and ECG abnormity in the mental disabled were higher than other disabled persons. The more serious the disabled level was, the more common these diseases occured. CONCLUSION: The disabled persons are the high risk groups of gynecological disease, ametropia, anemia, ect. Different type and level of disabilits can lead to the different risks of the complicated diseases. Systemic and pertinent rehabilition training and teaching of the health knowledge can promote their ability of live and work, and can reduce the incidence rate of these diseases.