2024年平度市东阁街道10,711名65岁及以上老年人健康体检结果分析

Analysis of Health Examination Results of 10,711 Elderly Aged 65 and above in Dongge Subdistrict, Pingdu City in 2024

摘要: 目的：分析辖区10,711名65岁及以上老年人的健康体检结果，评估其健康状况，为街道老年人健康管理及慢性病防控提供依据。方法：采用横断面研究设计，基于平度市基本公共卫生服务平台，收集2024年4月6日至9月8日东阁街道老年人健康体检数据，进行汇总及统计分析。结果：共纳入10,711名老年居民，男性4540名(42.39%)，女性6171名(57.61%)，平均年龄73.24 ± 5.95岁。高血压、高血糖、血脂异常、腹部B超异常及心电图异常的检出率分别为：71.05% (7610)，41.38% (4432)，44.88% (4807)，89.36% (9571)，55.39% (5933)。不同性别、不同体质指数、不同居住地居民血糖，血脂水平差异均有统计意义(P < 0.001)。女性高血压、高血糖、血脂异常、B超异常检出率高于男性(P < 0.001)。城镇居民高血糖检出率高于农村居民(P < 0.001)，农村居民腹部B超异常检出率高于城镇居民(P < 0.001)。不同年龄、不同体质指数体检者的高血压、高血糖、血脂异常、心电图异常及B超异常检出率差异均具有统计学意义(P < 0.05)。结论：本街道老年人慢性病(高血压、高血糖、血脂异常)检出率较高，健康状况需要重点关注。建议针对女性、城镇居民制定个性化健康管理策略。

Abstract: Objective: To analyze the health examination results of 10,711 elderly people aged 65 and above in the jurisdiction and assess their health status, providing a basis for community-based health management and chronic disease prevention and control for the elderly. Methods: A cross-sectional study design was adopted. Data from the health examinations of elderly residents in Dongge Subdistrict conducted between April 6 and September 8, 2024, were collected from the Pingdu Basic Public Health Service Platform, summarized, and statistically analyzed. Results: Among the 10,711 elderly residents, there were 4540 males (42.39%) and 6171 females (57.61%), with an average age of 73.24 ± 5.95 years. The detection rates of hypertension, hyperglycemia, dyslipidemia, abnormal abdominal B-ultrasound, and abnormal electrocardiogram were 71.05% (7610), 41.38% (4432), 44.88% (4807), 89.36% (9571), and 55.39% (5933), respectively. Differences in blood glucose and lipid levels among residents of different genders, body mass indices (BMIs), and residential areas were statistically significant (P < 0.001). The detection rates of hypertension, hyperglycemia, dyslipidemia, and B-ultrasound abnormalities were higher in females than in males (P < 0.001). Urban residents had a higher detection rate of hyperglycemia than rural residents (P < 0.001), while rural residents had a higher detection rate of abdominal B-ultrasound abnormalities than urban residents (P < 0.001). Statistically significant differences were also found in the detection rates of hypertension, hyperglycemia, dyslipidemia, electrocardiogram abnormalities, and ultrasound abnormalities among different age groups and body mass indexes (P < 0.05). Conclusion: The detection rates of chronic diseases (hypertension, hyperglycemia, dyslipidemia) are high among the elderly in this subdistrict. The health status of the elderly requires focused attention. It is recommended to develop personalized health management strategies targeting females and urban residents.