浙江省洪家街道健康体检老年人群历年体检数据整理及代谢综合征患病情况分析

发布时间：2018-05-29 16:19

  本文选题：老年人 + 健康体检　； 参考：《浙江中医药大学》2015年硕士论文

【摘要】：目的：通过分析历年洪家街道60岁以上农民健康体检数据,研究农民常患疾病的分布及其相关危险因素,为开展防治重点慢性非传染性疾病提供参考建议。方法：整理分析2006年至2013年洪家街道2万余60岁以上农民的健康体检数据,包括血常规、尿液检测、心电图、肝胆B超的检查结果和代谢综合征患病情况,取α=0.05为显著性检验水准,采用SPSS22.0软件和SAS9.3软件进行数据处理与统计分析。结果：1、血常规检测结果低于正常值组(以下简称减低组)中男性红细胞(RBC)、血红蛋白(Hb)减少率明显的高于女性；血常规检测结果高于正常值组(以下简称增高组)中女性红细胞(RBC)、血小板(PLT)、血红蛋白(Hb)增高率明显高于男性。2、尿常规检测总阳性检出为6496例,占91.95%,男性2471例,女性4025例。尿红细胞、白细胞、尿蛋白的阳性和弱阳性检出率较高。3、异常心电图男女比例为1.14：1,男性异常心电图发病率前五位的是：不完全性右束支传导阻滞、ST-T改变、房性早博、室性早搏、完全性右束支传导阻滞;女性发生率前五位的是：左前分支传导阻滞、心肌缺血、窦性心动过缓、ST-T改变、心电轴左偏。4、21725名受检者接受腹部B超检查共检出肝胆系统疾病9534例,检出率为43.9%,检出前五位疾病分别是：脂肪肝、胆囊结石、肝囊肿、肝内胆管结石、胆囊息肉。5、根据CDS, IDF和ATPⅢ标准,代谢综合征的患病率分别为19.29%,29.02%和17.41%。根据IDF标准和ATPⅢ标准,中心性肥胖比例分别为46.43%和17.59%,根据CDS标准超重比例是28.04%。三种标准下高甘油三酯血症的比例是一致的(31.96%),根据CDS标准高血压的比例为51.70%,而根据IDF和ATPⅢ标准是58.57%。根据CDS和ATPⅢ标准血糖增高者比例为56.16%,而根据IDF标准为76.34%。结论：1.老年人血常规检查异常情况与年青人差异较大,有必要制定适合老年人血常规异常的诊断标准。2.老年女性尿隐血、白细胞、尿亚硝酸盐阳性率明显高于男性。3.老年人群心电图异常以左前分支传导阻滞、心肌缺血、ST-T改变、窦性心动过缓、心电轴左偏多见。4.老年人肝胆B超脂肪肝检出率高,女性脂肪肝、胆囊结石的患病率高于男性。5.老年人群代谢综合征的患病率较高,ATPⅢ和IDF标准更适合洪家街道居民。
[Abstract]:Objective: to analyze the health examination data of farmers over 60 years old in Hongjia street over the past years, and to study the distribution of common diseases and related risk factors in order to provide reference for the prevention and treatment of key chronic non-communicable diseases. Methods: the health examination data of more than 20 000 years old farmers in Hongjia street from 2006 to 2013 were analyzed, including blood routine examination, urine examination, electrocardiogram, liver and bile B ultrasound examination results and metabolic syndrome. Taking 伪 -0. 05 as the significant test level, the data processing and statistical analysis were carried out with SPSS22.0 and SAS9.3 software. Results the results of blood routine examination were lower than those of the normal group (decreased group), the decrease rate of RBCU and HB in males was significantly higher than that in females. The results of blood routine examination were higher than those of the normal value group (hereinafter referred to as the elevated group). The increase rate of RBC, PLT, HB in the female was significantly higher than that in the male. The total positive rate of urine routine examination was 6496 cases (91.95%), 2471 cases of male and 4025 cases of female. The positive and weak positive rate of urine red blood cell, white blood cell, urine protein was higher. The ratio of male to female was 1.14: 1.The incidence of abnormal electrocardiogram in male was: ST-T change of incomplete right bundle branch block, atrial premature beat, ventricular premature beat. Complete right bundle branch block was found in the first five women: left anterior branch block, myocardial ischemia, changes of ST-T in sinus bradycardia, and 21725 patients with left deviation of ECG axis. 21725 patients were examined by abdominal B-ultrasonography to detect 9534 cases of hepatobiliary diseases, the first five were left anterior branch block, myocardial ischemia, sinus bradycardia and ST-T changes. The detection rate was 43.9%. The first five diseases were fatty liver, gallbladder stone, hepatic cyst, intrahepatic bile duct stone, gallbladder polyp. 5. According to the criteria of CDS, IDF and ATP 鈪，

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