军队离退休老干部3247例体检结果分析
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(空军总医院干部病房,北京 100142)

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军队离退休老干部心脑血管疾病药物不良反应调查及防治策略研究(CWS13BJ39)


Analysis of physical examination results of 3247 retired military cadres
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(Cadre’s Ward, Air Force General Hospital of PLA, Beijing 100142, China)

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    摘要:

    目的 通过对3247例军队离退休老干部体检结果进行分析,为军队老干部的医疗保健提供参考资料和理论依据。方法 回顾性分析2014年3月至2016年3月在空军总医院进行健康体检的某部军队干休所离退休老干部3247例,其中男性2684例,女性563例,年龄50~95(75.0±13.8)岁。根据年龄分为四组,其中50~59岁组374例,60~69岁组1184例,70~79岁组1547例,80~95岁组142例,均行体格检查、医技检查及化验室检验,并对检查结果进行统计学分析。结果 相比其他年龄组,80~95岁年龄组老干部女性、冠心病、糖尿病、高尿酸血症、用药人数比例高,25-羟基维生素D3[25-(OH)D3]水平低,差异具有统计学意义(P<0.05)。腹部超声结果比较表明,80~95岁年龄组脂肪肝、肝囊肿、胆囊息肉、胆囊结石、肾结石人数比例较高,差异有统计学意义(P<0.05)。胸片结果表明,相比其他年龄组,80~95岁年龄组老干部肺纹理增粗、胸椎退行性变、陈旧性肺结核、肺间质改变、主动脉硬化、肺气肿、肺斑片影、胸膜腔粘连人数比例较高,差异具有统计学意义(P<0.05)。心电图结果表明80~95岁年龄组缺血性改变、束支传导阻滞、窦性心率失常、心肌梗死、左心室肥厚、期前收缩和房室传导阻滞人数比例高,差异具有统计学意义(P<0.05)。同时60~69岁年龄组女性乳腺增生症和子宫肌瘤人数比例高,80~95岁年龄组男性前列腺肥大、前列腺结石、前列腺钙化患者比例高,差异有统计学意义(P<0.05)。结论 离退休老干部健康体检结果异常率较高,要有针对性地进行健康指导,早期发现,积极干预,监控相关危险因素,重点加强80~95岁年龄组老干部的保健工作。

    Abstract:

    Objective To provide reference and theoretical basis for the medical care in retired military cadres by analyzing the physical examination results of 3247 cases. Methods A total of 3247 cadres retired from army who took physical examination in our hospital from March 2014 to March 2016 were enrolled in this study. They were 2684 males and 563 females, and at an age of 75.0±13.8 (50-95) years. According to their age, they were divided into 50-59,0-69,0-79 and 80-95 years groups (n=374, 1184,7 and 142). The results of physical examination, medical examination and laboratory test were collected and analyzed. Results Compared with other aged group, the 80-95 years group had higher ratios of females, more comorbidities of coronary heart disease, diabetes and hyperuricemia, higher proportion of medication, and lower 25-(OH)D3 level (P<0.05). Abdominal ultrasound results showed that fatty liver, hepatic cyst, gallbladder polyps, gallbladder stones and kidney stones were more common in the 80-95 years old group (P<0.05). Chest X-ray filming indicated there were more images of increased pulmonary markings, thoracic vertebra degeneration, obsolete pulmonary tuberculosis, pulmonary interstitial changes, arteriosclerosis, pulmonary emphysema, pulmonary patchy shadow and adhesion of the pleural cavity in the 80-95 years old group (P<0.05). Electrocardiogram indicated there were more images of ischemic change, bundle branch block,sinus arrhythmia,myocardial infarction,left ventricular hypertrophy, premature contraction, atrial ventricular block in the 80-95 years group(P<0.05). At the same time, the incidence rates of mammary hyperplasia and uterine fibroids were higher in the females from the 60-69 years group, and those of prostate hypertrophy, prostatic calculus and prostatic calcification were common in the males of the 80-95 years group (P<0.05). Conclusion The abnormality rates of medical examination results are quite high in the retired cadres. So, pertinent health guidance should be carried out and related risk factors should be monitored and controlled for the senile patients, so as to get benefits from early discovery and active intervention. More attention should be paid to the health care in those aged 80-95 years.

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颜伟,孙梯业,杨春敏,靳英,魏璇.军队离退休老干部3247例体检结果分析[J].中华老年多器官疾病杂志,2018,17(1):29~33

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  • 收稿日期:2017-09-12
  • 最后修改日期:2017-11-27
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  • 在线发布日期: 2018-01-24
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