济南市历城区2019年老年人健康体检结果分析

Analysis of physical examination results of the elderly in Licheng District of Jinan,2019

目的分析济南市历城区≥65岁老年人健康状况和危险因素,为制定社区老年人健康预防干预措施提供科学依据。方法以济南市历城区2019年参加免费体检的45081名≥65岁老年人为调查对象,对其体检结果进行统计学分析。结果45081名体检者中,肥胖、高血压、糖尿病和血脂异常检出率分别为20.29%、41.51%、19.11%和34.24%。女性肥胖(χ2=130.27,P<0.05)、高血压(χ2=55.80,P<0.05)、糖尿病(χ2=26.49,P<0.05)和血脂异常(χ2=335.21,P<0.05)检出率均高于男性。不同年龄组之间,肥胖(χ2=69.10,P<0.05)、高血压(χ2=506.51,P<0.05)、糖尿病(χ2=26.72,P<0.05)和血脂异常(χ2=335.21,P<0.05)检出率,差异有统计学意义。其中肥胖检出率最高的年龄段为65~70岁,检出率为21.37%;高血压、糖尿病和血脂异常检出率最高的年龄段为>70~80岁,检出率分别为47%、20.31%和42.06%。结论社区老年人的肥胖、高血压、血糖异常和血脂异常检出率较高,提示社区慢性病的控制仍不容乐观,应加强定期体检和检后定期随访干预,完善社区老年人健康的规范管理。

Objective This study analyzed the health status and risk factors of the elderly over 65 years old in Licheng District to provide scientific basis for the development of health prevention and intervention measures for the elderly in the community.Methods The physical examination results of aged≥65 years old in Licheng District,Jinan city in 2019 were taken as the research objects and analyzed statistically.Results Among 45081 physical examination subjects,the detection rates of obesity,hypertension,diabetes and dyslipidemia were 20.29%,41.51%,19.11%and 34.24%,respectively.The detection rate of obesity(χ2=130.27,P<0.05),hypertension(χ2=55.80,P<0.05),diabetes(χ2=26.49,P<0.05)and dyslipidemia(χ2=335.21,P<0.05)in women was higher than that in men.Among different age groups,the detection rates of obesity(χ2=69.10,P<0.05),hypertension(χ2=506.51,P<0.05),diabetes(χ2=26.72,P<0.05)and dyslipidemia(χ2=335.21,P<0.05)were significantly different.The highest detection rate of obesity was 65-70 years old(21.37%).The detection rates of hypertension,diabetes and dyslipidemia were highest in the>70-80 years old,and the detection rates were 47%,20.31%and 42.06%,respectively.Conclusions The detection rate of obesity,hypertension,abnormal blood glucose and dyslipidemia in the elderly in the community is still high,indicating that the control of chronic diseases in the community is still not optimistic.Regular physical examination and regular follow-up intervention after examination should be strengthened to improve the standard management of the elderly in the community.