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目的通过健康体检,了解呼伦贝尔市牧区牧民的健康状况、疾病防范意识及基层医疗环境,为新型牧区合作医疗的实施提供科学的数据。方法牧区牧民作为调查对象,以乡镇(苏木)为检查单位,在某一时间段内采取随机抽样的方法进行问卷调查、体格检查和实验室检查,并将资料进行统计、分析。结果共调查了2 004例牧民,其中高血压425例,占21.2%;高脂血症323例,占16.1%;血糖高336例,占16.8%;心电图改变251例,占12.5%;脂肪肝484例,占24.2%;布氏杆菌病感染210例,感染率为10.5%。结论呼伦贝尔市牧区牧民健康状况不容乐观,高血压、高血脂、糖尿病等慢性疾病的发病率较高,是影响牧民健康的主要因素。同时局部地区布氏杆菌病爆发流行的趋势,加重了牧民的负担,影响畜牧业的发展。
Objective To understand the health status of pastoralists in Hulunbeier, awareness of disease prevention and primary medical environment through physical examination, and provide scientific data for the implementation of new pastoral cooperative medical care. Methods Pastoral herdsmen were selected as survey subjects and township (Hematoxylin) as inspection units. Random sampling methods were used to conduct questionnaires, physical examinations and laboratory tests in a certain period of time, and the data were statistically analyzed. Results A total of 2 004 herdsmen were investigated, including 425 cases of hypertension (21.2%), 323 cases of hyperlipidemia (16.1%), 336 cases of high blood sugar (16.8%), 251 cases of changes of electrocardiogram (12.5%), fatty liver 484 cases, accounting for 24.2%; 210 cases of brucellosis infection, the infection rate was 10.5%. Conclusion The herdsman’s health status in Hulun Buir city is not optimistic. The incidence of chronic diseases such as hypertension, hyperlipidemia and diabetes is high, which is the main factor affecting herdsman’s health. At the same time, the prevalence of brucellosis in some areas has aggravated the burden of pastoralists and affected the development of animal husbandry.