中山火炬开发区中老年人群血液生化指标调查分析

Survey and analysis on blood biochemical parameters among middle age and elderly population in Zhongshan Torch Development Zone

目的了解中山火炬开发区中老年人群的肝功能、肾功能、血脂和血糖等14项血液生化指标水平状况。方法对中山火炬开发区内居住满半年以上的10 031例中老年人群进行14项血液生化指标检测,并对检测指标水平及异常率进行分析。结果中老年人群血液生化指标异常率较高,排在前8位的分别为:总胆固醇(43.75%)、尿酸(30.93%)、三酰甘油(29.37%)、低密度脂蛋白胆固醇(21.38%)、总胆红素(23.79%)、胱抑素C(18.95%)、丙氨酸氨基转移酶(15.59%)、血糖(15.41%)。各组别人群间肝功能、肾功能、血脂和血糖指标比较,大部分指标差异有统计学意义(P<0.05)。不同性别、不同区域的中老年人的部分指标异常率比较,差异有统计学意义(P<0.05)。结论中老年人群健康体检不容忽视,应根据其血液生化异常特点,特别监控排列前8位的生化指标,制订干预和预防措施。

Objective To understand the level situation of 14 blood biochemical indexes of liver function,renal function,blood lipid and blood glucose among the middle-aged and elderly population in Zhongshan Torch Development Zone. Methods 10 031 middle-aged and elderly people living in Zhongshan Torch Development Zone for more than half a year were detected 14 biochemical indexes. The detection results and the abnormality rates were statisti cally analyzed. Results The abnormality rates of blood biochemical indexes were higher in the middle-aged and eiderly population,the top 8 places were in turn TC,UA,TG,LDL-C,TBIL,CysC,ALT and GLU,which were 43.75%, 30.93%,29.37%,21.38%,23.79%,18.95%,15.59% and 15.41% respectively. The liver function,renal function, blood lipid and blood glucose indexes were compared among the groups, and the difference was statistically significant among most of the indexes（P〈0.05）. The abnormality rates of partial indexes had statistical differences among dif- ferent genders and different areas （P〈0.05）. Conclusion The physical examination in the middle-aged and elderly population should not be ignored. The top 8 biochemical indicators should be specially monitored according to the blood and biochemical abnormality characteristics in this population. The intervention and preventive measures should be formulated.