上海市静安寺社区65岁以上老人健康体检结果分析

Analysis of the Physical Examination Results of the Elderly over 65 Years Old in Jing'an Temple Community, Shanghai

目的了解静安寺社区65岁以上老年人的健康状况。方法对1,551名65岁以上老人的体检结果(体质指数、血糖、血脂、血压和血尿酸)进行统计分析。结果在1,551名老年人中,各项体检指标均正常且既往无慢性病史者有110人,占7.09%;阳性检出率前5位的疾病分别是高血压(46.87%)、超重和肥胖(33.46%)、血脂紊乱(30.11%)、高尿酸血症(15.09%)和糖尿病(13.15%);老年女性血脂紊乱检出率多于男性,差异有统计学差异(P<0.05)。随着年龄的增长,高血压及高尿酸血症的检出率增加,差异有统计学差异(P<0.05)。结论全科医师不仅需要提高对已有慢性疾病患者的管理质量和健康教育效果,还需要进一步增强针对潜在疾病的预防教育工作,更好地发挥健康守门人的作用。

Objective To understand the health status of the elderly people over 65 in Jing'an Temple community. Methods The results of physical examination of 1,151 elderly people over 65(body mass index, blood glucose, blood lipids, blood pressure, serum uric acid) were collected and analyzed. Results Among 1,551 elderly people, 110 had normal physical indicators and no previous chronic disease history(7.09%). The top five positive screening rates were hypertension(46.87%), overweight and obese(33.46%), hyperlipidemia(30.11%), hyperuricaemia(15.09%), and diabetes(13.15%). The detection rates of hyperlipidemia were higher in females than in males, the difference was statistical significant(P<0.05). The detection rates of hypertention and hyperuricaemia were high in elder groups, the difference was statistical significant(P<0.05). Conclusion With the high prevalence and risk of chronic diseases among elderly people in local community, GPs are needed to improve not only the quality of health education and treatment to present patients with chronic diseases, but also the prevention and education towards potential cases.