泰州市某社区60岁以上老年人体检结果分析.docVIP

泰州市某社区60岁以上老年人体检结果分析 严蓓蓓泰州市第四人民医院检验科【摘要】目的：了解老年人血糖血脂尿酸等情况，并对其进行合理指导，预防疾病的发生，关注老年人健康生活。方法：对我院城东社区880例60岁以上的老年人进行血糖（GLU）、甘油三酯（TG）、胆固醇（TC）、尿酸（UA），并进行统计学分析。结果：16.6%的人血糖增高，35.4%的人甘油三酯增高，14.4%的人血清胆固醇增高，11.25%的人血尿酸增高。男性血糖指标高于女性（P0.05）女性甘油三酯和胆固醇指标均高于男性（P0.05）血尿酸指标男女差异不明显（P0.05）。 结论：社区全科医生要加强对老年人合理膳食的指导，重视老年人健康知识的宣教和高危人群的筛查工作。 【关键词】老年人血糖血脂尿酸 Results of physical examination of over-60-year-old elderly in a community of Taizhou Bei-bei YAN （Department of Clinical Laboratory，The 4th Hospital of Taizhou，Jiangsu Taizhou，225300） 【Abstract】Objective：To perform physical examination (such as lipid, uric acid, blood glucose) for the aged population in the Chengdong District of Taizhou, and to study the health problems of them for offering clinical basis for preventing and curing diseases. Methods: Altogether 880 residents were performed check-up according to the fixed inspection project of blood glucose (GLU), triglyceride (TG), cholesterol (TC), uric acid, and the results were analyzed. Results: The detection rate of hyperglycaemia was16.6%, high TC was 35.4%, high uric acid was 11.25%. HDL and LDL was higher in females than in males, but the hyperglycaemia was higher in males than in females, the difference was significant (P=0.05). there were no difference between females and males in uric acid. Conclusion: Community general practitioners must strengthen the elderly reasonable dietary guidance, and pay attention to the elderly health knowledge education and screening in high risk group. 【Key words】Over-60-year-old elderly; Blood glucose; Lipids; Uric acid 随着人们生活水平的提高和饮食结构的改变以及社会老龄化，糖尿病、高血脂和高尿酸的人群数呈上升趋势。国家为加强老年人的社区医疗保健服务工作，体现社区卫生服务的公益性，对60岁以上的老年人进行免费健康体检工作。笔者将我院所在城东社区880位60岁以上老人的各个指标分析报道如下： 1 资料与方法 1.1 对象 城东社区内880名60岁以上的老年人，其中男性582名，女性298名。 1.2 方法 采用OLYMPUS AU2700生化仪进行分析检测。试剂由上海执诚公司提供。血糖采用葡萄糖氧化酶法、甘油三酯采用GPO-PAP酶法、血清胆固醇采用CHOD-PAP酶法、血尿酸采用氧化酶法测定。 1.3 诊断标准：空腹血糖(BG)6.1 mmol/L、甘油三酯(TG)1.70mmol/L、总胆固醇(TC)5.72 mmol/L、尿酸男性：428 umol/L；女性：357 umol/L为增高[1]。 1.4 统计学处理：应用SPSS 13．0统计软件帮助处理数据。组间