643例老干部健康体检患病情况分析

Analysis of disease from health physical examination for 643 elderly cadres

目的探讨影响老干部健康的主要疾病及预防策略。方法采用常规健康体检方法对我区643例老(≥60岁)干部进行全面体检及心电图、血液生化指标的检查,并以同时进行体检的1147例老年前期(50～59岁)干部作为对照。结果高脂血症、脂肪肝、高血糖、肾结石、高血压和前列腺增生为这些人群中患病率较高的前六位疾病。老年组中脂肪肝、高血压、高血糖和前列腺增生的患病率均高于老年前期组(P<0．05-0．005),高脂血症和肾结石的患病率在两组间均无显著性差异(P>0．05)。老年组心电图和超声心动图检查出现心肌缺血的改变均多于老年前期组(均P<0．005)。结论诸如高血压、高血糖等动脉硬化的高危因素在老年人中常见,定期健康体检是早期防治心血管疾病的有效方法。

Objective To study the primary diseases effecting the health of elderly cadres and its preventive policy. Methods 643 elderly cadres(≥60 years)were examined by routine health examination and electrocardiogram, blood chemic index, etc, and the 1147 prevenient elderly cadre were as control. Results hyperlipidemia, hepatic fattiness, glycemia, nephrolith, hypertension and prostate hypertrophy were high incidence in this crowd, which located from one to six bits. Incidences of hepatic fattiness, hypertension, glycemia and prostate hypertrophy in groups of elderly were all higher than those of the prevenient elderly group ( P < 0.05-0.005) , the incidences of hyperlipidemia and nephrolith were no remarkable difference between elderly group and prevenient elderly(P>0.05) . The incidences of cardiac ischemic which represented with electrocardiogram and echocardio-graphy in elderly group were both higher than those in prevenient elderly group (all P < 0.005). Conclusion The elderly person has more risks which resulted in arteriosclerosis such as hypertension and glycemia. Health physical examination is a effective method for finding out and curing the cardiovascular disease early.