杭州市灵隐街道东山弄社区老年人群慢性病流行病学分析(1)
 |
| 第1页 |
参见附件(1864KB，2页)。
[摘要] 目的 探讨杭州市灵隐街道东山弄社区老年人群慢性病分布特征和相关的影响因素。方法 采用抽样调查方法对杭州市灵隐街道东山弄社区的老年人进行调查。分析其慢性病发病情况、疾病构成情况。结果 老年人慢性病患病率为34.9%，其中高血压、糖尿病、冠心病、脑卒中及恶性肿瘤是主要的疾病构成，一种慢性病的构成比为81.7%，两种及以上慢性病共患的构成比为18.3%。男性老年人高血压及脑卒中发病率高于老年女性，年龄>71岁老年人高血压、冠心病及恶性肿瘤发病率高于年龄≤71岁老年人。结论 老年居民慢性病发病率较高，多种慢性病共患情况较为常见，应根据慢性病发病特点进行干预。
[关键词] 慢性病；发病率；共患病
[中图分类号] R181.2+4 [文献标识码] A [文章编号] 1673-9701(2011)34-17-02
Epidemiological Analysis to Chronic Disease of Aged People at Linyin Community Medical Care Center of Hangzhou City
FANG Qian
Linyin Community Medical Care Center of Hangzhou City，Hangzhou 310013，China
[Abstract] Objective To investigate the distribution characteristic and related factor of chronic disease in aged people in Linyin community of hangzhou city. Methods Investigated the aged people at Linyin community of hangzhou city with sample survey, incidence rate and distribution of chronic disease were analized. Results Disease rate of chronic disease in aged people was 34.9%, hypertension, diabetes mellitus, coronary artery disease, apoplexy and m alignant tumor was major component part of chronic disease. constituent ratio of geriatric patient who was with one disease was 81.7%, constituent ratio of geriatric patient who was with chronic disease more than two type was 18.3%. Disease rate of hypertension and stroke was higher in aged male than aged female. Disease rate of hypertension, coronary artery disease and m alignant tumor was higher in geriatric patient who was elder than 71 years than in geriatric patient who was younger than 71 years. Conclusion Disease rate of chronic disease in aged people is higher, rate of multiple chronic disease is frequent, should be interfered according to characteristic of chronic disease.
[Key words] Chronic disease; Disease rate; Multiple disease
伴随近年来我国居民生活水平的提高及生活方式的改变以及我国社会老龄化的进程，慢性病已经成为影响我国居民生活质量的主要原因，慢性病的发病率呈现上升趋势[1]，老年人是慢性病发病的主要群体，我地区近年慢性病大宗病例的流行病学调查尚缺乏系统的资料，为此，我们对老年人常见慢性病及指标异常情况进行分析，为本地区慢性病的管理提供理论依据。
1 资料与方法
1.1 调查对象
在2008年1月～2010年12月期间，采取抽样调查的方法对杭州市灵隐街道东山弄社区1124名老年人进行慢性病调查，其中男672名，女452名，年龄65～86岁，平均(71.0±8.2)岁。
1.2 调查项目
采用问卷方式进行调查，内容包括受调查者姓名、年龄等一般状况及慢性病既往诊断情况，其中既往曾诊断慢性疾病者需有二级以上医院诊疗记录及诊断结果。慢性病范围包括心血管病、慢性肺病、脑血管疾病、糖尿病、泌尿系统疾病、风湿病以及恶性肿瘤等。
1.3 质量控制
参加调查人员由本社区卫生服务中心统一培训，问卷结束后抽取问卷10%进行质量评价 ......
您现在查看是摘要介绍页，详见PDF附件(1864KB，2页)。