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目的分析上海市闵行区浦江镇60岁以上老年人中慢性病患者与非慢性病人群的各项检查指标差异,为社区家庭医生模式下社区慢性病管理方式提供依据。方法采用SPSS 18.0软件对60岁以上老年人中慢性病患者与非慢性病人群的各项指标检查结果进行χ2检验,统计其差异是否有统计学意义。结果 60岁以上老年人中高血压患者占总数的61.65%,糖尿病患者占总数的23.25%,高血压合并糖尿病的患者占15.60%,高血压和糖尿病组的肾功能、心电图、B超、眼底检查、体质指数(BMI)、血脂、空腹血糖检测异常率均高于正常组,组间差异有统计学意义(P<0.05)。结论家庭医生在对慢性病患者的日常管理中,每年应建议患者做相关的临床检查以及时发现患者的靶器官损害情况,及早干预治疗,及早康复,提高患者的生命质量;在日常的健康教育工作中,注重加强患者的不良生活方式干预,调整饮食结构,均衡营养,加强运动,促进患者血压、血糖恢复正常。
OBJECTIVE: To analyze the differences of various indexes of chronic diseases and non-chronic diseases in Pujiang Town, Minhang District, Shanghai, and to provide evidences for the management of community chronic diseases in community-based family doctors. Methods The SPSS 18.0 software was used to test χ2 for the indexes of chronic diseases and non-chronic diseases in the elderly over 60 years old, and the differences were statistically analyzed. Results The hypertensive patients over the age of 60 accounted for 61.65% of the total number of hypertensive patients, diabetes accounted for 23.25% of the total number of patients with hypertension and diabetes mellitus accounted for 15.60%, hypertension and diabetes, renal function, electrocardiogram, B ultrasound, fundus examination, Body mass index (BMI), blood fat, fasting blood glucose test abnormalities were higher than the normal group, the difference between the groups was statistically significant (P <0.05). Conclusion In the daily management of patients with chronic diseases, family doctors should advise patients to do relevant clinical examinations in a timely manner to detect the target organ damage in time, intervene in treatment as soon as possible, and recover early to improve their quality of life. In daily health education , Focusing on strengthening the patient’s unhealthy lifestyles intervention, adjusting diet, balanced nutrition, strengthening exercise, promote blood pressure, blood sugar returned to normal.