上海市某社区65岁以上老年人健康体检结果分析

Analysis of health checkup results for elders over 65 in a Shanghai community

对上海市某社区1273例65岁以上老年人进行健康体检，结果显示，806例（63．3％）既往有高血压病史，其中523例（64．9％）体检仍发现血压异常；467例既往无高血压病史，202例（43．2％）首次发现血压升高。674例接受血液生化检测，发现132例（19．6％）血糖升高，其中，63．8％（67例）为既往糖尿病患者，11．4％（65例）首次发现血糖升高。46．3％（312／674）LDL—C升高，35．5％（239例）血TG增高，21．8％（147例）血尿酸增高，11．1％（75例）血TC增高，且女性TC、LDL—C明显高于男性（均P〉0．05）。本社区老年人血压、血糖、血脂和血尿酸异常者人数较多，全科医生应重视慢性病人群的管理，重视高危人群的筛查与健康宣教。

A total of 1273 elders above 65 years old received health check-up in our community. Among them, 63.3% （806/1273） had a history of hypertension and 64. 9% （523/806） showed abnormal blood pressure. And 43.2% （202/467） of those without a history of hypertension were firstly found to have abnormal blood pressure. Among 674 blood testers, 19. 6% had an elevated level of fasting blood glucose. And 11.4% of those without a history of diabetes had an elevated level of fasting blood glucose. Hyperuricemia （ 21.8% , n = 147 ）, hypercholesteremia （ 11.1% , n = 75 ）, hypertriglyceridemia （ 35.5 % , n =239） and increased low density lipoprotein-cholesterol （LDL-C） （46. 3% , n = 312） were noted. The levels of total cholesterol and LDL-C were higher in females than those in males （ both P 〉 0. 05 ）. The results suggested that general practitioners should pay more attention to the management of chronic diseases and the health education and screening of high-risk populations.