摘要
目的了解长寿老人血液、尿液常规检验指标检测情况，探讨老年人血液、尿液常规检验指标变化特点。方法根据中国疾病预防控制中心《长寿地区老年人口健康状况调查实施方案》的要求，2009年7月，中国疾病预防控制中心对莱州市全部≥100岁老人的健康状况进行调查，现对其中血常规、部分血生化和尿常规指标检验结果进行分析，并与部分80～99岁和40～59岁人群比较。结果检测196份（≥100岁的67人、80～99岁的35人、40～59岁的94人）血液标本，8项血常规指标中有≥1项异常者所占比例，3组分别为73．13％、48．576％、30．85％（P〈0．01），其中红细胞计数、白细胞计数、血小板计数、血红蛋白、红细胞平均压积体积和平均红细胞血红蛋白含量异常率，≥100岁与80～99岁组无差异（P〉0．05），高于40～59岁组（P〈0．01或〈0．05）；8项血生化指标中有≥1项异常者所占比例，3组分别为76．12％、74．29％、38．30％（P〈0．01），其中总胆固醇、甘油三酯、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇异常率≥100岁和其他2组无差异（P〉0．05），血清肌酐和血清尿素氮异常率高于其他2组（P〈0．01）。检测192份（≥100岁的64人、80～99岁的34人、40～59岁的94人）尿液标本，比重、pH、胆红素、尿胆原均在正常范围内，其他有≥1项异常者所占比例，3组分别为71．88％、52．94％、15．96％（P〈0．01），其中亚硝酸盐、潜血、蛋白质和红细胞异常率≥100岁与80～99岁组无差异（P〉0．05），高于40～59岁组（P〈0．01）。结论≥100岁长寿老人与80～99和40～59岁人群比较，血常规、血生化、尿常规指标异常率较高，但总胆固醇、甘油三酯、高密度脂蛋白和低密度脂蛋白异常率无差异。
Objective To understand the long-lived persong blood and urine routine test rating examination condition and discuss characteristics of blood and urine routine test rating change of the longqived persons. Methods According to the requests of the Chinese Center for Disease Control and Prevention on Implementation Plan of the Health Investigation on the Elderly Population in Longevity Area,Chinese Center for Disease Control and Prevention carried out a survey on Laizhou centenarians in July, 2009. Now analysis was made on the results of blood test, partial blood biochemistry and rou- tine urine test,and comparison was made on the results with the people aged 80-99 and 40-59. Results A total of 196 blood samples were tested（including 67 centenarians,35 people aged 80-99 ,and 94 people aged 40-59）,in eight blood rou- tine tests,the proportion of t-he abnormal index was no less than one among the three groups respectively was 73.13%0, 48. 576% ,and 30.85% （ P 〈0.01）. In the abnormal rate of red cell counting,the white blood cell counting,the platelet count, the hemoglobin, the red blood cell average pressure accumulate the volume and the average red blood cell hemoglo- bin content rate of abnormality,there was no difference between the centenarians and people aged 80-99 （ P 〉0.05） ,but it was higher than the results of people aged 40-59 （ P 〈0.01 or〈0.05） ; in eight items of blood biochemistry target, the proportion of abnormal index which had no less than 1 item among the 3 groups, respectively was 76.12 %, 74.29 %, and 38.30 % （ P 〈0.01） ,in which the rate of abnormaltotal cholesterol, triglyceride, high density lipoprotein cholesterol and the low density lipoprotein cholesterol of the persons ageed no younger than 100 years old was the same as that of the oth- er 2 groups （ P 〉0.05） ,but the abnormal rate of blood serum myo and the blood serum urea nitrogen was higher than the other 2 groups （ P 〈0.01）. 192 urine specimenswere tested （including 64 centenarians,34 people aged 80-99 ,and 94 peo- ple aged 40-59）, the proportion, pH, the bilirubin, the urine gallbladder were all in the normal range, the abnormal propor- tion of other which had more than one item among the 3 groups was respectively 71.88% ,52.94% ,and 15.96% （ P 〈 0.01）,in which the abnormal proportion of nitrite, dives blood,protein and the red blood cell of the centenarians was the same as that of those persons aged 80-99 （ P 〉0.05） ,but different from that of the people aged 40-59 （ P 〈0.01）. Conclusion Compared with the persons aged 80-99 and the persons aged 40-59, the routine blood test, the blood biochem- istry,the routine urine test rate, the centenarians are higher, but there are no differences in the total cholesterol, the tri- glyeeride,the high density lipoprotein and the low density lipoprotein.
出处
《预防医学论坛》
2014年第2期97-100,共4页
Preventive Medicine Tribune
关键词
长寿老人
血常规
血生化
尿常规
Long-lived person
Routine blood test
Blood biochemistry
Routine urine test
