山区农村65岁以上老年人健康体检结果分析

Analysis of health examination results of the elderly in rural aged above 65 years old

目的:通过对2013年对65岁以上老年人2520人健康体检结果分析,了解山区农村老年人身体健康状况,探讨影响老年人的健康的主要疾病,为山区老年人提供可及的临床预防服务。方法:将65岁以上老年人采取自愿的原则进行免费体检,体检的项目有血压、血脂、血糖、血尿常规、心电图、B超、胸透等。结果:根据患病率依次排名是高血压、糖尿病、高血脂、脑血管意外、慢阻肺、心电图异常(大多为冠心病),患病率分别为50.6%、9.9%、9.6%、6.5%、4.2%、3.6%;生活方式调查发现吸烟占总人数26.3%、饮酒12.8%、高脂饮食20.3%、高盐饮食27.6%,除日常劳动外参加体育锻炼者不足1%。结论:我国老年人仍是慢性病患病的高危人群,必须根据不同年龄的健康情况制定针对老年慢性病的预防和干预措施,积极控制血糖、血压、血脂等危险因素,减少心血管事件的发生。改善人们的生活方式、指导合理膳食、减少因缺乏身体活动带来的健康危害,倡导慢性病的自我管理模式,以达到全面提高居民总体健康水平的目的。

Objective:Through the analysis of the results of health examination of 2520 people aged above 65 years old in 2013,to understand the rural elderly health status,and to explore the main diseases affecting the health of the elderly and to provide clinical preventive services for the elderly in mountainous areas.Methods:We conducted free physical examination to people over 65 years old with voluntary principle.Physical examination included blood pressure,blood lipid,blood sugar,blood and urine routine,ECG,B ultrasound,chest x-rays and so on.Results:Ranking according to the prevalence was hypertension,diabetes, hyperlipidemia,cerebral vascular accident,COPD,ECG abnormalities(mostly for coronary heart disease),the prevalence rates respectively were 50.6%,9.9%,9.6%,6.5%,4.2% and 3.6%.Lifestyle survey found that smoking accounted for 26.3% of the total number,drinking 12.8%,high fat diet 20.3% and high salt diet 27.6%.Except the daily labor,people participating in physical exercise was less than 1%.Conclusion:High risk population of chronic disease in our country was still in the elderly.We must develop chronic disease prevention and intervention measures according to the health condition of different age.The incidence of cardiovascular events must be reduced by active control of risk factors,such as blood glucose,blood pressure,blood lipid.Improving people's life style,reasonable diet,reducing health hazards caused by lack of physical activity and self management model advocated by chronic diseases can help us achieve our goal of improving the overall health level of residents.