摘要
目的 对北京市昌平区某社区65岁及以上老年人血生化体检结果进行分析,了解该地区老年人的健康状况,为社区基本公共卫生服务工作开展提供科学依据。方法 数据来源于2018年北京市昌平区某社区2499例65岁及以上老年人,分析其生化指标、血脂、血糖、尿酸异常情况的流行病学分布。结果 血生化体检结果分析显示,所有检查指标中,异常检出率由高到低分别是:血糖、甘油三酯、胆固醇、尿酸、丙氨酸转氨酶和天冬氨酸转氨酶。35.73%(893/2499)的老年人所有检测结果未见异常,有1项指标异常者占35.69%(892/2499),有2项指标异常者占19.05%(476/2499)。随着年龄的上升,男性转氨酶的异常检出率明显减低(P<0.05),女性转氨酶的异常检出率亦减低但差异无统计学意义(P>0.05)。男性血脂异常检出率为40.43%(410/1014),女性血脂异常检出率为49.76%(739/1485),差异有统计学意义(P<0.05)。男性尿酸异常检出率为13.51%(137/1014),女性尿酸异常检出率为6.26%(93/1485),差异有统计学意义(P<0.05)。结论 主要血生化指标异常检出率在65岁及以上老年人各个年龄段均占有较高的比例,其中血糖和血脂异常检出率最高,血脂和尿酸异常检出率的分布与性别有关。社区卫生服务机构老年人健康管理工作中要结合老年人群自身特点,对不同年龄、不同性别的老年人实施有针对性的措施。
Objective Analyze the blood biochemical examination results of the aged 65 and over in a community in Changping District,Beijing,and to understand the health status of the elderly in this area,so as to provide scientific guidance for the basic public health service in the community.Methods Data were collected from 2499 elderly people in a community of Changping District in Beijing in 2018.The epidemiological distribution of biochemical indicators,blood lipid,blood sugar and uric acid abnormalities was analyzed.Results The results of blood biochemical examination showed that the main indicators of abnormal detection rate from high to low were blood sugar,triglyceride,cholesterol,uric acid,alanine aminotransferase and glutathione aminotransferase.35.73%(893/2499)of the elderly had no abnormalities in all test results.One index was abnormal in 35.69%(892/2499)and two indexes were abnormal in 19.05%(476/2499).With the increase of age,the abnormal detection rate of male transaminase decreased(Z=2.58,P=0.0049),and that of female transaminase decreased(Z=1.58,P=0.0565).The detection rate of dyslipidemia was 40.43%(410/1014)in males and 49.76%(739/1485)in females.The difference was statistically significant(χ^2=21.1191,P<0.0001).The detection rate of abnormal uric acid was 13.51%(137/1014)in males and 6.26%(93/1485)in females.The difference was statistically significant(χ^2=37.8819,P<0.0001).Conclusion The abnormal rate of abnormal blood biochemical index was higher in all age groups over the age of 65 and above.The detection rate of blood glucose and dyslipidemia was the highest.The distribution of abnormal detection rate of blood lipid and uric acid was related to gender.Therefore,in the health management work of the elderly in community health service institutions,targeted measures should be taken for elderly people of different age groups and different genders according to their own characteristics.
作者
张丽
贾俊楠
Zhang Li;Jia Junnan(The Changping District Xiaotangshan Community Health Service Center of Beijing City Beijing,102211;The Beijing Chest Hospital of Capital Medical University,Beijing,101149)
出处
《基层医学论坛》
2020年第5期610-612,共3页
The Medical Forum
关键词
老年人
血生化
体检结果
基本公共卫生服务
健康管理
The elderly
Blood biochemistry
Physical examination
Basic public health services
Health management
