本文選題：老年人 + 健康體檢�。� 參考：《浙江中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：目的：通過分析歷年洪家街道60歲以上農(nóng)民健康體檢數(shù)據(jù),研究農(nóng)民�；技膊〉姆植技捌湎嚓P(guān)危險因素,為開展防治重點(diǎn)慢性非傳染性疾病提供參考建議。方法：整理分析2006年至2013年洪家街道2萬余60歲以上農(nóng)民的健康體檢數(shù)據(jù),包括血常規(guī)、尿液檢測、心電圖、肝膽B(tài)超的檢查結(jié)果和代謝綜合征患病情況,取α=0.05為顯著性檢驗(yàn)水準(zhǔn),采用SPSS22.0軟件和SAS9.3軟件進(jìn)行數(shù)據(jù)處理與統(tǒng)計分析。結(jié)果：1、血常規(guī)檢測結(jié)果低于正常值組(以下簡稱減低組)中男性紅細(xì)胞(RBC)、血紅蛋白(Hb)減少率明顯的高于女性；血常規(guī)檢測結(jié)果高于正常值組(以下簡稱增高組)中女性紅細(xì)胞(RBC)、血小板(PLT)、血紅蛋白(Hb)增高率明顯高于男性。2、尿常規(guī)檢測總陽性檢出為6496例,占91.95%,男性2471例,女性4025例。尿紅細(xì)胞、白細(xì)胞、尿蛋白的陽性和弱陽性檢出率較高。3、異常心電圖男女比例為1.14：1,男性異常心電圖發(fā)病率前五位的是：不完全性右束支傳導(dǎo)阻滯、ST-T改變、房性早博、室性早搏、完全性右束支傳導(dǎo)阻滯;女性發(fā)生率前五位的是：左前分支傳導(dǎo)阻滯、心肌缺血、竇性心動過緩、ST-T改變、心電軸左偏。4、21725名受檢者接受腹部B超檢查共檢出肝膽系統(tǒng)疾病9534例,檢出率為43.9%,檢出前五位疾病分別是：脂肪肝、膽囊結(jié)石、肝囊腫、肝內(nèi)膽管結(jié)石、膽囊息肉。5、根據(jù)CDS, IDF和ATPⅢ標(biāo)準(zhǔn),代謝綜合征的患病率分別為19.29%,29.02%和17.41%。根據(jù)IDF標(biāo)準(zhǔn)和ATPⅢ標(biāo)準(zhǔn),中心性肥胖比例分別為46.43%和17.59%,根據(jù)CDS標(biāo)準(zhǔn)超重比例是28.04%。三種標(biāo)準(zhǔn)下高甘油三酯血癥的比例是一致的(31.96%),根據(jù)CDS標(biāo)準(zhǔn)高血壓的比例為51.70%,而根據(jù)IDF和ATPⅢ標(biāo)準(zhǔn)是58.57%。根據(jù)CDS和ATPⅢ標(biāo)準(zhǔn)血糖增高者比例為56.16%,而根據(jù)IDF標(biāo)準(zhǔn)為76.34%。結(jié)論：1.老年人血常規(guī)檢查異常情況與年青人差異較大,有必要制定適合老年人血常規(guī)異常的診斷標(biāo)準(zhǔn)。2.老年女性尿隱血、白細(xì)胞、尿亞硝酸鹽陽性率明顯高于男性。3.老年人群心電圖異常以左前分支傳導(dǎo)阻滯、心肌缺血、ST-T改變、竇性心動過緩、心電軸左偏多見。4.老年人肝膽B(tài)超脂肪肝檢出率高,女性脂肪肝、膽囊結(jié)石的患病率高于男性。5.老年人群代謝綜合征的患病率較高,ATPⅢ和IDF標(biāo)準(zhǔn)更適合洪家街道居民。
[Abstract]:Objective: to analyze the health examination data of farmers over 60 years old in Hongjia street over the past years, and to study the distribution of common diseases and related risk factors in order to provide reference for the prevention and treatment of key chronic non-communicable diseases. Methods: the health examination data of more than 20 000 years old farmers in Hongjia street from 2006 to 2013 were analyzed, including blood routine examination, urine examination, electrocardiogram, liver and bile B ultrasound examination results and metabolic syndrome. Taking 偽 -0. 05 as the significant test level, the data processing and statistical analysis were carried out with SPSS22.0 and SAS9.3 software. Results the results of blood routine examination were lower than those of the normal group (decreased group), the decrease rate of RBCU and HB in males was significantly higher than that in females. The results of blood routine examination were higher than those of the normal value group (hereinafter referred to as the elevated group). The increase rate of RBC, PLT, HB in the female was significantly higher than that in the male. The total positive rate of urine routine examination was 6496 cases (91.95%), 2471 cases of male and 4025 cases of female. The positive and weak positive rate of urine red blood cell, white blood cell, urine protein was higher. The ratio of male to female was 1.14: 1.The incidence of abnormal electrocardiogram in male was: ST-T change of incomplete right bundle branch block, atrial premature beat, ventricular premature beat. Complete right bundle branch block was found in the first five women: left anterior branch block, myocardial ischemia, changes of ST-T in sinus bradycardia, and 21725 patients with left deviation of ECG axis. 21725 patients were examined by abdominal B-ultrasonography to detect 9534 cases of hepatobiliary diseases, the first five were left anterior branch block, myocardial ischemia, sinus bradycardia and ST-T changes. The detection rate was 43.9%. The first five diseases were fatty liver, gallbladder stone, hepatic cyst, intrahepatic bile duct stone, gallbladder polyp. 5. According to the criteria of CDS, IDF and ATP 鈪，

本文編號：1951556