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上海高桥古镇社区老年人血脂异常情况分析

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目的:分析上海高桥古镇社区 60岁及以老人的血脂异常分布状况,为进一步实施社会卫生教育和健康管理提供科学依据.方法:对上海高桥古镇社区 2022 年 1 月至 10 月接受免费健康体检的 11 162 名 60 岁及以上老年人的血脂指标进行统计分析,其中男性 4 980人,占 44.60%,平均年龄为(70.21±6.35)岁;女性 6 182人,占 55.40%.血脂指标主要包括总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C).结果:上海高桥古镇社区体检老人中血脂异常检出率高达 71.83%,男性和女性的血脂异常检出率分别为 66.73%和 75.95%,差异有统计学意义(P<0.01).女性老年人在TG、LDL-C、TC升高的检出率均高于男性,而HDL-C降低的检出率则低于男性,差异均有统计学意义(均P<0.01).血脂异常检出率随年龄的上升呈现下降的趋势(P<0.01).结论:2022 年高桥古镇社区 60~69 岁老年人血脂异常检出率明显偏高,女性的检出率较高.提示应该着重开展以老年女性为重点人群的健康教育,设立健康档案,进行免费的健康管理服务,以期达到改善血脂异常,预防心脑血管疾病的目的.
Analysis of dyslipidemia in the elderly people in Gaoqiao Ancient Town Community of Shanghai
Objective:To analyze the distribution of dyslipidemia in the elderly patients aged 60 and above in Gaoqiao Ancient Town Community of Shanghai,and to provide the scientific basis for further implementation of social health education and health management.Methods:The blood lipid indexes of 11 162 elderly people aged 60 and above who received free physical examination from January to October 2022 in Gaoqiao Ancient Town Community,Shanghai were statistically analyzed,among them,there were 4 980 males,accounting for 44.6%and the average age was(70.21±6.35)years;there were 6 182 females,accounting for 55.4%.The main lipid indexes included total cholesterol(TC),triglyceride(TG),high-density lipoprotein cholesterol(HDL-C)and low density lipoprotein cholesterol(LDL-C).Results:The detection rate of dyslipidemia was as high as 71.83%,the detection rates of dyslipidemia in males and females were 66.73%and 75.95%,respectively and the difference was statistically significant(P<0.01).The detection rates of elevated TG,LDL-C and TC in the elderly women were higher than those in the elderly men,while the detection rate of decreased HDL-C was lower in the women than that in the men,and the difference was statistically significant(P<0.01).With the increase of age,the detection rate of dyslipidemia showed a downward trend.Conclusion:In 2022,the detection rate of dyslipidemia is significantly high in the elderly people aged 60-69 in Gaoqiao Ancient Town Community,and the detection rate is higher in females.It indicates that health education should be focused on the elderly women as the key population,health records should be set up,and free health management services should be provided,so as to improve dyslipidemia and prevent the occurrence of cardiovascular and cerebrovascular diseases.

dyslipidaemiaelderly peopleancient town communityphysical examination

益莉萍、徐张明

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上海市浦东高桥社区卫生服务中心妇幼组,上海 200137

上海市浦东高行社区卫生服务中心行政办公室,上海 200120

血脂异常 老年人 古镇社区 健康体检

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(4)