上海某社区65岁以上老年人健康体检结果现况分析(总6页).docVIP

上海某社区65岁以上老年人健康体检结果现况分析 韩鹏飞（上海市徐汇区天平街道社区卫生服务中心，200031上海） 【摘要】 目的 通过对上海市徐汇区天平街道65岁以上老年人体检结果进行分析，了解本社区老年人的健康现状，为进一步开展慢性病管理、健康教育工作提供依据。方法 每人体检项目由区卫生局统一规定，所有自愿参加体检的老年人有权选择具体体检项目。全科团队负责发放健康评估的结论并进行健康宣教工作。结果 体检者中63.32%有高血压史；有高血压病史的体检者中64.89%（523/806）体检血压异常，既往无高血压史的体检者中43.3%（202/467）体检发现血压异常；674人接受了血液生化检测，19.58%有空腹血糖的升高；在既往无糖尿病史的体检者中，11.42%体检发现空腹血糖增高；21.81%（147/674）有血尿酸增高，11.13%（75/674）有血总胆固醇的增高，35.46%（239/674）有血甘油三酯的增高，46.29%（312/674）有低密度脂蛋白胆固醇增高；674人中，女性血总胆固醇增高的比例（15.50%）显著高于男性（4.74%），女性低密度脂蛋白胆固醇增高的比例（50.00%）显著高于男性（40.88%），差异均有统计学意义。结论 体检结果显示，本社区老年人血压、血糖、血脂和血尿酸异常者人数颇多，有许多工作需要全科医生去开展与完善。 【关键词】 健康体检；慢性病管理 The Analysis of health checkup results of the elderly over 65 in a community of Han Pengfei (Tianping Community Health Service Center of Shanghai Xuhui District, Shanghai 200031，China) [Abstract] Objective To get information of their health status quo by analyzing the results of health checkup of the elderly above 65 years old by Tianping Community Health Service Center of Shanghai Xuhui District in order to provide the basis for the management of chronic diseases and health education.Methods All the items of health checkup are decided by Xuhui District Health Bureau and all the elderly over 65 have the rights to choose the items by themselves.The GP team is responsible for the health assessment and health education.Results 63.32% of the examinees have the history of hypertension, 64.89%(523/806)of whom were found having abnormal blood pressure during health checkup.43.3%(202/467) of the examinees without hypertension history were found having abnormal blood pressure.674 people took the blood test,19.58% of whom were found having elevation of fasting blood glucose level.11.42% of the examinees without diabetes history were found having high fasting blood glucose level.21.81% of the examinees were found having high serum uric acid levels.11.13%(75/674)of the examinees were found having high total blood cholesterol (TC).35.46%(239/674)having high serum triglyceride(TG)level