目的:了解北京广内社区老年居民健康状况,探讨更完善的社区卫生服务模式。方法:通过简单随机抽样,选取广内社区卫生服务中心2018年老年居民体检档案163份,对一般健康状况、体检情况、慢性非传染性疾病情况进行整理,研究其对居民慢病的...目的:了解北京广内社区老年居民健康状况,探讨更完善的社区卫生服务模式。方法:通过简单随机抽样,选取广内社区卫生服务中心2018年老年居民体检档案163份,对一般健康状况、体检情况、慢性非传染性疾病情况进行整理,研究其对居民慢病的影响。结果:广内社区超重、肥胖及腹型肥胖老年居民多,发病率最高的慢病为高脂血症、高血压病、糖尿病;腰围的增加与高血压相关,身体质量指数(Body Mass Index,BMI)、腰围、腰臀比的增加可能是患糖尿病的危险因素。结论:健康档案可以更好地了解社区居民的健康状况,加强社区健康档案的管理、进行针对性的健康指导是解决社区居民健康问题的重要举措。展开更多
Chronic hepatitis B and C together with alcoholic and non-alcoholic fatty liver diseases represent the major causes of progressive liver disease that can eventually evolve into cirrhosis and its end-stage complication...Chronic hepatitis B and C together with alcoholic and non-alcoholic fatty liver diseases represent the major causes of progressive liver disease that can eventually evolve into cirrhosis and its end-stage complications,including decompensation,bleeding and liver cancer.Formation and accumulation of fibrosis in the liver is the common pathway that leads to an evolutive liver disease.Precise definition of liver fibrosis stage is essential for management of the patient in clinical practice since the presence of bridging fibrosis represents a strong indication for antiviral therapy for chronic viral hepatitis,while cirrhosis requires a specif ic follow-up including screening for esophageal varices and hepatocellular carcinoma.Liver biopsy has always represented the standard of reference for assessment of hepatic fibrosis but it has some limitations being invasive,costly and prone to sampling errors.Recently,blood markers and instrumental methods have been proposed for the non-invasive assessment of liver fibrosis.However,there are still some doubts as to their implementation in clinical practice and a real consensus on how and when to use them is not still available.This is due to an unsatisfactory accuracy for some of them,and to an incomplete validation for others.Some studies suggest that performance of non-invasive methods for liver fibrosis assessment may increase when they are combined.Combination algorithms of non-invasive methods for assessing liver fibrosis may represent a rational and reliable approach to implement non-invasive assessment of liver fibrosis in clinical practice and to reduce rather than abolish liver biopsies.展开更多
文摘目的:了解北京广内社区老年居民健康状况,探讨更完善的社区卫生服务模式。方法:通过简单随机抽样,选取广内社区卫生服务中心2018年老年居民体检档案163份,对一般健康状况、体检情况、慢性非传染性疾病情况进行整理,研究其对居民慢病的影响。结果:广内社区超重、肥胖及腹型肥胖老年居民多,发病率最高的慢病为高脂血症、高血压病、糖尿病;腰围的增加与高血压相关,身体质量指数(Body Mass Index,BMI)、腰围、腰臀比的增加可能是患糖尿病的危险因素。结论:健康档案可以更好地了解社区居民的健康状况,加强社区健康档案的管理、进行针对性的健康指导是解决社区居民健康问题的重要举措。
基金Supported by An unrestricted grant from Roche-Italia
文摘Chronic hepatitis B and C together with alcoholic and non-alcoholic fatty liver diseases represent the major causes of progressive liver disease that can eventually evolve into cirrhosis and its end-stage complications,including decompensation,bleeding and liver cancer.Formation and accumulation of fibrosis in the liver is the common pathway that leads to an evolutive liver disease.Precise definition of liver fibrosis stage is essential for management of the patient in clinical practice since the presence of bridging fibrosis represents a strong indication for antiviral therapy for chronic viral hepatitis,while cirrhosis requires a specif ic follow-up including screening for esophageal varices and hepatocellular carcinoma.Liver biopsy has always represented the standard of reference for assessment of hepatic fibrosis but it has some limitations being invasive,costly and prone to sampling errors.Recently,blood markers and instrumental methods have been proposed for the non-invasive assessment of liver fibrosis.However,there are still some doubts as to their implementation in clinical practice and a real consensus on how and when to use them is not still available.This is due to an unsatisfactory accuracy for some of them,and to an incomplete validation for others.Some studies suggest that performance of non-invasive methods for liver fibrosis assessment may increase when they are combined.Combination algorithms of non-invasive methods for assessing liver fibrosis may represent a rational and reliable approach to implement non-invasive assessment of liver fibrosis in clinical practice and to reduce rather than abolish liver biopsies.
