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目的:分析中老年体检人群慢性病及其指标异常分布情况特征。方法:回顾性分析2016年1月~2016年12月在保定市医院进行体检的9216例老年患者临床病例资料,包括性别、年龄、体重等影响因素以及糖尿病、高血压和脂肪肝等慢性疾病,分析不同年龄、性别患者其慢性病发病比例以及指标异常率。结果:9216例老年体检患者其慢性疾病检出率以及指标异常检出率为74.0%,各年龄段人数分布比例和性别分布比例之间比较差异无统计学意义(P>0.05),中老年女性体检患者其慢性疾病和指标异常检出率明显大于男性者(P<0.05);<65岁中老年体检者其慢性疾病和指标异常检出率明显大于>65岁体检者(P<0.05);9216例体检的中老年人群中常见的慢性疾病以及指标异常情况为高血压、肥胖或超重、高血脂、脂肪肝、心电图异常和糖尿病。结论:中老年患者其慢性病发病率较高,高龄、女性等因素会增加老年患者发生慢性疾病的风险。
Objective: To analyze the characteristics of abnormal distribution of chronic diseases and their indexes in middle-aged and elderly medical examination population. Methods: A retrospective analysis was conducted on the clinical data of 9216 elderly patients from January 2016 to December 2016 in the Baoding city hospital. The data included gender, age, weight and other factors as well as chronic diseases such as diabetes, hypertension and fatty liver, Analysis of different age, gender, the incidence of chronic diseases and the rate of abnormal indicators. Results: The detection rate of chronic diseases and the abnormal rate of indicators were 92.0% in 9,216 elderly patients. There was no significant difference in the proportion of the population distribution and the gender distribution among all age groups (P> 0.05) The detection rate of abnormalities of chronic diseases and indexes in physical examination patients was significantly higher than that in men (P <0.05). The detection rate of abnormalities of chronic diseases and indexes was significantly greater than that of 65-year-old physical examination patients (<0.05). Of the 9216 cases examined, the common chronic diseases and indicators in the elderly population were abnormalities of hypertension, obesity or overweight, hyperlipidemia, fatty liver, electrocardiogram abnormalities and diabetes. Conclusion: The incidence of chronic diseases is higher in middle-aged and elderly patients. Factors such as senior citizens and females increase the risk of chronic diseases in elderly patients.