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目的分析辽宁省大连市2004年申请企业医疗保险补助人员高血压、糖尿病及并发症的流行病学特征,为制定慢性病防控及医疗保险补助政策提供依据。方法在大连市2004年申请企业医疗保险补助的检诊合格人群中,通过整群随机抽样方法抽取13 691人作为研究对象;采用SPSS 11.5统计软件进行分析。结果高血压的患病率为79.7%,糖尿病为47.4%,高血压并发糖尿病的患病率为30.5%;高血压并发冠心病的最多,占80.6%;糖尿病并发视网膜病变的最多,占60.3%;2种慢性病并发冠心病、视网膜病变和脑卒中都有随年龄增高而增加的趋势,而肾病在低年龄组人群中的患病率较高;高血压患者中女性冠心病视网膜病变并发症患病率较高,分别为83.9%,79.4%,男性脑卒中并发症患病率高,为45.25%。结论高年龄段的患者应以预防和控制冠心病、视网膜病变和脑卒中为主,低年龄段应以预防和控制肾病为主;女性应重点预防和控制冠心病和视网膜病变,男性应重点预防和控制脑卒中。
Objective To analyze the epidemiological characteristics of hypertension, diabetes mellitus and complications of applying for medical insurance subsidy in Dalian City, Liaoning Province in 2004, and provide the basis for formulating the policy of prevention and control of chronic diseases and medical insurance subsidy. Methods A total of 13 691 people were randomly selected from a total of 13 eligible eligibility groups for medical insurance in Dalian in 2004, and analyzed by SPSS 11.5 statistical software. Results The prevalence of hypertension was 79.7%, diabetes was 47.4%, the prevalence of hypertension complicated by diabetes was 30.5%, the incidence of hypertension complicated by coronary heart disease was 80.6%, the incidence of diabetes complicated with retinopathy was 60.3% ; 2 kinds of chronic diseases complicated with coronary heart disease, retinopathy and stroke have the trend of increasing with age, while the prevalence of nephropathy in the lower age group is higher; complications of coronary heart disease in hypertensive patients with retinopathy The prevalence rate was higher, 83.9% and 79.4% respectively. The prevalence rate of stroke complications in men was 45.25%. Conclusions Patients with high age should be mainly in the prevention and control of coronary heart disease, retinopathy and stroke, and the prevention and control of kidney disease should be the main factor in the lower age group. Women should focus on prevention and control of coronary heart disease and retinopathy, and men should focus on prevention And control stroke.