摘要
目的了解中山市开发区老年人高血压、高血糖、高血脂(三高)的流行趋势,并探讨其在不同人群中的特点以及高血压与高血糖、高血脂的关系。方法选取当地近4年(2015~2018年)接受免费健康体检的60岁以上常住居民为调查对象,系统收集其血压、血糖、血脂等心血管病危险因素资料。结果近4年,当地老人高血压、高血糖、高血脂的总检出率分别从2015年的62.7%、16.4%、42.8%下降至2018年的57.6%、14.8%和21.6%;除高血糖外,高血压、高血脂的检出率在各年龄组及不同性别组中呈现逐年下降趋势,差异有统计学意义(P<0.05)。各调查年份的高血压和高血糖检出率随年龄的增大而上升,而在2016~2018年,高血脂的检出率随年龄的增大而下降(P<0.05);各调查年份的高血脂检出率女性高于男性(P<0.05)。高血压组的高血糖、高血脂检出率高于非高血压组,差异有统计学意义(P<0.05)。结论近4年中山市开发区老年人的健康管理工作有一定成效,但是进一步改善和加强社区卫生服务工作仍有其必要性。
Objective To understand the prevalence trend of hypertension,hyperglycemia and hyperlipidemia among the elderly in Zhongshan development zone,and to discuss their characteristics in different populations as well as the relationship between hypertension and hyperglycemia and hyperlipidemia.Methods Local residents over 60 years old who received free physical examination in the past 4 years(2015-2018)were selected as survey subjects,and data of their blood pressure,blood glucose,blood lipid and other cardiovascular risk factors were systematically collected.Results In the past four years,the total detection rates of hypertension,hyperglycemia and hyperlipidemia among local elderly dropped from 62.7%,16.4%and 42.8%in 2015 to 57.6%,14.8%and 21.6%in 2018,respectively.In addition to hyperglycemia,the detection rates of hypertension and hyperlipidemia in all age groups and groups of different genders showed a decreasing trend year by year,and the difference was statistically significant(P<0.05).The detection rate of hypertension and hyperglycemia increased with age in each survey year,while the detection rate of hyperlipidemia decreased with age from 2016 to 2018(P<0.05).The detection rate of hyperlipidemia in women was higher than that in men(P<0.05).The detection rates of hyperglycemia and hyperlipidemia in the hypertensive group were higher than those in the non-hypertensive group,and the differences were statistically significant(P<0.05).Conclusion In the past four years,the health management of the elderly in the development zone of Zhongshan city has achieved some results,but it is still necessary to further improve and strengthen the community health service.
作者
伍金倩
孙各琴
许惠根
崔经和
郝秀春
陈斯敏
WU Jinqian;SUN Geqin;XU Huigen;CUI Jinghe;HAO Xiuchun;CHEN Simin(Clinical laboratory of Zhongshan Torch Development Zone Hospital,Guangdong,Zhongshan 528437,China;Public Health Management Department,Community Health Service Center,Torch Development Zone,Guangdong,Zhongshan 528437,China)
出处
《中国医药科学》
2019年第24期188-190,211,共4页
China Medicine And Pharmacy
基金
广东省中山市医学科研基金项目(2019J326)
关键词
高血压
高血糖
高血脂
老年人
High blood pressure
High blood sugar
Hyperlipidemia
The elderly
