检索历史 清除

目的 通过体检了解居民的健康状况和疾病谱,为做好社区预防保健工作提供健康信息材料和干预的依据.方法 2008年至2009年对第二轮新农合31724名居民进行内、外科、心电图、胸部X线透视、尿、大便常规、肝功能和乙肝表面抗原、彩色B超检查肝、胆、肾,40岁以上的居民增加空腹血糖和血脂检查.结果 疾病谱依次为血脂异常(41.0%)、超重(23.7%)、血压异常(22.9%)、胆囊疾病(16.3%)、脂肪肝(13.3%)、乙肝病毒表面抗原阳性(10.7%)、肾脏疾病(9.6%)、血糖异常(6.4%).血压异常、超重、血脂异常女性高于男性(P<0.05),乙肝表面抗原阳性率、肾脏疾病男性高于女性(P<0.05).慢性疾病发病以中、老年居多(P<0.05),但有向低龄化发展的趋势.结论 血脂异常、超重、血压异常、脂肪肝、血糖异常已经成为农村居民主要的健康问题,应积极地制定干预措施,加强健康管理,控制慢性疾病的危险因素进一步发展.

Objective To investigate the health status and disease spectrum of community residents to provide evidence for health care interventions.Methods From 2008 to 2009, physical examination, electrocardiogram,chest X-ray,urine or stool test,liver functions,color B-ultrasound checks were scanned for 31 724 community residents, and fasting blood glucose or lipids was tested for the individuals over 40-year-old.Results Dyslipidemia, overweight, abnormal blood pressure, gallbladder disease, fatty liver, positive hepatitis B surface antigen, kidney disease, and blood glucose abnormality were found in 41.0% ,23.7% , 22.9% ,16.3% , 13.3% , 10.7% ,9.6% , and 6.4% , respectively.Blood pressure anomaly, overweight and dyslipidemia were more commonly seen in ( P < 0.05 ), however, positive hepatitis B surface antigen and kidney disease were more commonly seen in men ( P < 0.05 ).Most chronic diseases happened in the middle-aged and the elderly population ( P < 0.05 ).Conclusions Dyslipidemia, overweight, abnormal blood pressure,fatty liver,blood glood abnormality have become important health problems of rural residents,and health interventions should be actively taken.