上海市城郊5685名社区老年人主要疾病或健康问题分析及对策

Analysis and Exploration on Countermeasures of Major Disease and Health Problem for 5685 Community Elderly People in Suburb District of Shanghai

目的了解上海市城郊社区60岁以上老年人的主要疾病或健康问题,为制订科学的老年人健康管理措施提供依据。方法以上海市近郊某社参加健康检查的5 685名60岁以上老年人为研究对象,收集其BMI、血压及血脂检测结果和B超检查结果并进行分析。结果老年人主要疾病或异常指标检出率前4位分别为脂肪肝（53.47%）、血脂异常（47.51%）、高血压（44.01%）及超重和肥胖（35.99%）。脂肪肝、血脂异常男性低于女性,高血压、超重和肥胖男性高于女性（P〈0.01）;血脂异常以60~69岁老年人检出率最高（P〈0.01）;高血压检出率随着年龄的增长而升高,脂肪肝、超重和肥胖随着年龄的增长而降低（P〈0.01）。结论脂肪肝、血脂异常、高血压及超重和肥胖是老年人的主要健康问题,应制定科学的健康管理措施,加强随访、追踪和管理。

OBJECTIVE To know the basic health status of elder people, and to provide basis for disease prevention and treatment. METHODS Physical examination was carried out in 5 685 community people older than 60 year in some towns, in suburb of Shanghai City. Data of general PE, laboratory examination and B-mode ultrasonography was collected. RESULTS The main disease or abnormal index and relevant rate were as follows： fatty liver for 53.47%, dyslipidemia for 47.51%, high BP for 44.01%, high BMI for 35.99%. The rate of high BP and high BMI in male old people was higher than that in female （P〈0.O1）. While fatty liver and dyslipidemia were on the contrary（P〈0.01）. The rate of high BP increased by age（P〈0.01） . While fatty liver, dyslipidemia, and high BMI de- creased by age（P〈0.01）. CONCLUSIONS Fatty liver, dyslipidemia, high blood pressure, high BMI were the main disease or health problem for community old people. Scientific disease management measures and individual therapeutic schedule should be conducted to improve health status and life quality.