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目的了解社区健康检查人群血液生化指标水平及其特点,初步评估该人群健康状况。方法对上海市浦东新区某社区14 207名健康检查人群13项血液生化指标检测结果进行统计分析。结果 13项生化指标总体检测异常率均低于0.05%。女性丙氨酸转氨酶(ALT)活力显著低于男性;60岁以下人群显著低于60岁以上人群。女性碱性磷酸酶(ALP)活力显著高于男性。女性谷氨酰转肽酶(GGT)活力显著低于男性;91~100岁组显著低于其他年龄组和平均水平。30~45岁组尿素氮(BUN)显著低于其他年龄组,91~100岁组显著高于其他年龄组水平。女性肌酐(CREA)显著低于男性;30~60岁组显著低于其他年龄组。女性尿酸(UA)显著高于男性;76~100岁组显著高于其他年龄组及平均水平。女性甘油三酯(TG)、总胆固醇(TC)水平显著高于男性;91~100岁组TG显著低于其他年龄组及平均水平,30~45岁组TG显著高于平均水平。结论浦东新区某社区14 207名进行体检的居民健康状态良好。同时也发现年龄越大生化指标越容易偏离主体人群的平均水平范围。提示应在该社区对不同性别、不同年龄组高危人群有针对性地进行健康教育与疾病预防保健,预防慢性疾病的发生。
Objective To understand the level and characteristics of blood biochemical indexes in community health checkup population and to preliminarily evaluate the health status of the population. Methods Thirteen blood biochemical parameters of 14 207 health check-ups in a community of Pudong New Area in Shanghai were statistically analyzed. Results The overall abnormalities of 13 biochemical indexes were all less than 0.05%. Female alanine aminotransferase (ALT) activity was significantly lower than men; people under 60 years of age was significantly lower than 60 years of age. Female alkaline phosphatase (ALP) activity was significantly higher than men. Female glutamyl transpeptidase (GGT) activity was significantly lower than men; 91 to 100 age group was significantly lower than the average age of other groups. The levels of BUN in 30-45 years old group were significantly lower than those in other age groups, and those in 91-100 years old group were significantly higher than those in other age groups. Female creatinine (CREA) was significantly lower than men; 30 to 60 years old group was significantly lower than the other age groups. Female uric acid (UA) was significantly higher than men; 76 to 100 years old group was significantly higher than the other age groups and the average. The triglyceride (TG) and total cholesterol (TC) levels of women were significantly higher than those of men. TG in 91-100 years old group was significantly lower than the average of other age groups and TG was significantly higher than the average in 30-45 years old group. Conclusion The residents of 14 207 medical examinations in a certain community in Pudong New Area are in good health. Also found that older biochemical indicators more easily deviate from the average level of the main population. It is suggested that health education and disease prevention and health care should be targeted in this community to prevent the occurrence of chronic diseases in high risk population of different sexes and different age groups.