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目的对桐柏县老年人慢性病患病情况进行现况调查,掌握其流行状况,为制定防治策略提供依据。方法利用2011年桐柏县居民健康建档项目支持,对65岁以上人群开展调查,并进行慢性病患病情况统计分析。结果桐柏县65岁以上老年人慢性病的患病率较高,其中高血压为68.36%,冠心病19.37%,糖尿病15.68%,高血脂14.44%,男女性别间差异无统计学意义。脑血管病患病率为10.18%,慢性支气管炎患病率8.26%,均为男性高于女性。高血压及糖尿病病人的知晓率低、服药率较高,控制率较低。老年人慢性病的危险因素为经常吸烟和饮酒、运动不足、肥胖。结论桐柏县老年人慢性病的患病率和各种危险因素均处于较高水平,应有针对性地加强老年人健康教育和指导,并制定可行的疾病防控措施。
Objective To investigate the status quo of chronic diseases in elderly people in Tongbai County, master the epidemic situation and provide the basis for the prevention and treatment strategies. Methods With the support of Tongbai County residents’ health filing project in 2011, the survey was conducted on people over 65 years of age and statistical analysis of the prevalence of chronic diseases was made. Results The prevalence of chronic diseases was higher in older people over 65 years old in Tongbai County. Among them, hypertension was 68.36%, coronary heart disease was 19.37%, diabetes mellitus was 15.68% and hyperlipidemia was 14.44%. There was no significant difference between male and female. The prevalence of cerebrovascular disease was 10.18% and the prevalence of chronic bronchitis was 8.26%, both of which were higher in males than in females. Hypertension and diabetes patients awareness rate is low, higher medication rates, lower control. Risk factors for chronic diseases in the elderly are frequent smoking and drinking, lack of exercise, and obesity. Conclusion The prevalence of chronic diseases and various risk factors of elderly people in Tongbai County are at a high level. Health education and guidance should be strengthened for the elderly in a targeted manner, and feasible disease prevention and control measures should be formulated.