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目的探讨大连市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,通过整群随机抽样的方法抽取13 623人作为研究对象,将其检查结果录入数据库,采用SPSS 11.5统计软件进行分析,组间比较采用χ2检验,P<0.05为差异有统计学意义。结果糖尿病患病率为47.8%,糖尿病并发高血压的患病率为30.5%;两病并发冠心病、视网膜病变和脑卒中都有随年龄增高而增加的趋势。女性两病并发冠心病、视网膜病变的患病率较男性高(P<0.05),而男性两病并发肾病的患病率较女性略高,但差异无统计学意义。结论本研究显示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;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肾病。
Objective To explore the epidemiological characteristics of hypertension, diabetes mellitus and complications of applying for medical insurance in Dalian in 2004, and to provide the basis for establishing the policy of chronic disease prevention and control and medical insurance subsidy. Methods A total of 13,623 people were randomly selected from a total of 13,243 eligible medical and health insurance recipients in Dalian in 2004. The test results were recorded in the database and analyzed by SPSS 11.5 statistical software. Compared with χ2 test, P <0.05 for the difference was statistically significant. Results The prevalence of diabetes mellitus was 47.8%, and the prevalence of diabetes complicated with hypertension was 30.5%. The incidence of coronary heart disease, retinopathy and stroke both increased with age. The prevalence of retinopathy in both women and women with coronary heart disease was higher than that in men (P <0.05). However, the prevalence of two diseases in men with nephropathy was slightly higher than that in women, but the difference was not statistically significant. Conclusion This study shows that patients with high age should be the main prevention and control of coronary heart disease, retinopathy and stroke; women should focus on prevention and control of coronary heart disease and retinopathy, men should focus on prevention and control of kidney disease.