独居与共居对四川省级机关829名60岁以上老人心血管疾病指标的影响

The Effect of Living Alone and Living With Families on the Cardiovascular Disease Index in 829 Elderly People From Sichuan Provincial Government

目的探讨独居与共居对60岁以上老年人的心血管疾病相关指标是否存在某种关系,为老年人的健康服务提供指导。方法在2017-07/2018-10参与体检的四川省级机关单位60岁以上老人中根据体检编号等距离抽取829名,对独居老人和与家人共居老人的高血压病及血压控制情况、糖尿病及血糖控制情况、血脂异常情况进行统计学描述。结果独居老人组高血压病、糖尿病占比高于与家人共居老人组(其中独居老人组、共居老人组的高血压病占比分别为29.23%、23.82%,糖尿病占比分别为12.31%、8.64%),差异具有统计学意义;高血压病独居老人组血压控制不良率(84.21%)高于与家人共居老人组(80.00%),差异具有统计学意义;独居老人组新检出糖尿病比例(29.23%)高于与家人共居老人组(26.96%),差异具有统计学意义;糖尿病患者血糖控制不良率两组分别是21.34%和24.52%,差异无统计学意义。独居老人组胆固醇(TC)异常比例、甘油三酯(TG)异常比例高于共居老人组,分别为38.46%和32.07%、29.23%和27.75%,差异均具有统计学意义。结论独居老人高血压病、糖尿病、血脂异常及血压控制不良等情况较共居老人严重,值得社会关注。

Objective To explore the effect of living conditions(e.g.living alone,living with families)on some cardiovascular disease index in elderly people,and to provide guidance for health services of the elderly.Methods The physical examination records of 829 elderly people by the age of 60 above from the unit of Sichuan provincial government were randomly selected by draw equally according to the examination number,and then they were divided into two groups according to whether they were living with their families or living alone.The control situation of blood pressure suffered from high blood pressure,the control situation of blood glucose suffered from diabetes,and the incidence of dyslipidemia were compared between the two groups by the method of statistical description.Results Elders who were living alone had more cardiovascular risk factors compared with elders living with their families(the incidence rate of high blood pressure between living alone group and living with family group were 29.23%,23.82%,respectively,and the incidence rate of diabetes of two groups were 12.31%,8.64%,respectively.)The differences between two groups were statistical significant.Among them,the defective rate of hypertension(84.21%)and diabetes mellius(29.23%)in elders who were living alone were significantly higher than that in elders who were living with families(80.0%,26.96%).The differences between two groups were statistical significant.The failure rate of blood glucose control between two groups were 21.34%,24.52%,respectively,the differences were not statistical significant between the two groups.In addition,the proportion of abnormal cholesterol(TC),triglycende(TG)in living alone group was significantly higher than that in living with families group,with 38.46%vs.32.07%、29.23%vs.27.75%,respectively.Conclusion Elders who were living alone have higher failure control rates of hypertension,DM,dyslipidmia.Elders who were living alone deserve more attention of society.