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目的了解黟县60岁及以上老年人健康状况,为开展慢性病管理提供依据。方法选取2015年黟县基本公共卫生服务老年人健康管理项目中老年人健康体检辅助检查资料,对其血液生化检查结果进行分析。结果 6032例60岁及以上老年体检者中,高胆红素、高肌酐、高胆固醇、高血糖检出率较高,异常率分别为25.15%、23.92%、21.05%和18.95%,城区老年人高血糖、高血脂及高谷丙转氨酶检出率均明显高于农村居民(P<0.05),农村居民高肌酐检出率明显高于城区居民(P<0.05);女性高血脂及高肌酐检出率均明显高于男性(P<0.05),男性肝功能异常检出率均高于女性(P<0.05);血糖、血脂、肝功能异常检出率随着年龄的增长呈现下降趋势,肾功能异常检出率随着年龄的增长呈现上升趋势;高血糖组与正常血糖组老年人中的高血脂症及谷丙转氨酶和谷草转氨酶异常率,两组比较差异有统计学意义(P<0.05)。结论应针对性地加强老年人健康知识的健康教育宣传,定期进行健康体检及健康管理。
Objective To understand the health status of elderly people aged 60 years and above in Shexian County and provide the basis for the management of chronic diseases. Methods The data of Auxiliary Medical Examination for Elderly in Juxian Basic Public Health Service Elderly Health Management Project in 2015 were selected and their blood biochemical test results were analyzed. Results The detection rate of hyperbilirubinemia, high creatinine, high cholesterol and hyperglycemia were 60.15%, 23.92%, 21.05% and 18.95% respectively in 6032 elderly people aged 60 and above. The urban elderly The detection rates of hyperglycemia, hyperlipidemia and alanine aminotransferase were significantly higher than those in rural residents (P <0.05). The detection rate of high creatinine in rural residents was significantly higher than that in urban residents (P <0.05) (P <0.05). The detection rate of abnormal liver function in males was higher than that in females (P0.05). The detection rate of abnormal blood glucose, blood lipid and liver function showed a decreasing trend with age, and renal function The abnormal detection rate showed an upward trend with age. The hyperlipidemia and the abnormal rates of ALT and AST in the hyperglycemia group and the normal blood glucose group were significantly different (P <0.05) . Conclusion Health education advocacy of health knowledge of the elderly should be strengthened in a targeted manner, and regular physical examination and health management should be carried out.