21067名孝感市城镇居民健康结果分析

Analysis on Health Examination Results of Urban Residents in Xiaogan City

目的通过体检了解居民的健康状况和疾病谱,为做好社区预防保健工作提供健康信息资料和干预的依据。方法 2008年10月-2010年12月对全市参保居民21 067人进行内科、外科、眼科、耳鼻喉科、心电图、胸透、血常规、尿常规、肝功能和乙肝表面抗原、B超肝、胆、肾、40岁以上的居民增加空腹血糖和血脂检查,已婚妇女另加妇科检查、乳腺红外线扫描、妇科彩超。统计体检后发病率5%以上阳性结果。结果疾病谱依次为血脂偏高(46.29%)、超重(29.97%)、血压偏高(29.32%)、脂肪肝(22.49%)、血糖偏高(20.35%)、泌尿系结石(8.62%)、乙肝病毒表面抗原阳性(7.4%)、胆囊结石(6.26%)。血压异常、超重、血脂异常、血糖异常及肾脏输尿管结石男性明显高于女性(P<0.01)。慢性疾病发病以中、老年居多(P<0.01),但有向低龄化发展的趋势。女性疾病谱依次为妇科炎症(39.12%)、乳腺增生(17.52%)、妇科良性肿瘤(6.26%),其中妇科炎症以青中年居多(P<0.01)。结论血脂异常、超重、血压异常、脂肪肝、血糖异常已经成为城镇居民主要的健康问题,妇科慢性炎症仍然是妇科疾病中首要问题,应积极地制定干预措施,加强健康管理,建立长效卫生保障机制保障居民身体健康。

Objective To investigate the health status of residents and disease spectrum through physical examination, pro- vide health information and intervention basis for the community prevention and health care. Methods All 21 067 residents with health insurance from October,2008 to December,2010 received physical examination. The physical examination included internal medicine, surgery,ophthalmology and otolaryngology diagnosis, tests of ECG, chest X-ray, blood and urine routine, liver function and hepatitis B surface antigen, abdominal B-mode uhrasonography, fasting blood glucose and lipid screening for the residents aged over 40 years, gynecological examination, breast infrared scanning and gynecologic ultrasound for the married women. The positive results with morbidity over 5% were analyzed statistically. Results The disease spectrum was high blood lipids （46.29 % ）, overweight （29.97 % ）, high blood pressure （29.32%）, fatty liver （22.49%）, high blood sugar（ 20.35 % ）, urinary stones（ 8.62% ）,positive hepatitis B virus surface antigen（ 7.4% ） and gallbladder stones（6.26% ）. The males with abnormal blood pressure,overweight, dyslipidemia, glucose abnormalities and renal calculi were obviously more than females （P 〈 0.01 ）. The chronic diseases were common in the middle and old patients（P 〈0. O1 ） ,with a trend that the age of patients became more youthful. The gynecological inflammation disease spectrum（ 39.12% ） , hyperplasia of mammary glands（ 17.52% ） and benign gy- necological tumors（ 6.26% ）, and the gynecological inflammation mostly occurred in the young and middle-aged patients（ P 〈 0.01 ）. Conclusion Dyslipidemia, overweight, abnormal blood pressure, fatty liver and blood glucose abnormalities are now grow- ing the major health problem of urban residents, and the gynecologic chronic inflammation is also remained as is was. More inter- vention and health management measures, medical security mechanism establishment should be pay more attentions.