上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (5): 681-.doi: 10.3969/j.issn.1674-8115.2011.05.033

• 短篇论著 • 上一篇    下一篇

上海市崇明县离休干部慢性病现况调查

周熙琳, 梁 辉   

  1. 上海交通大学 |医学院附属新华医院崇明分院老年科, 上海 202150
  • 出版日期:2011-05-28 发布日期:2011-05-27
  • 通讯作者: 梁 辉, 电子信箱: lianghuiwu@sina.com。
  • 作者简介:周熙琳（1972—）, 女, 主治医师；电子信箱: zhou2xilin@163.com。
  • 基金资助:

    上海交通大学医学院附属新华医院崇明分院基金

Investigation in prevalences of chronic diseases in retired cadres in Chongming County of Shanghai

ZHOU Xi-lin, LIANG Hui   

  1. Department of Geriatrics, Chongming Branch of Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 202150, China
  • Online:2011-05-28 Published:2011-05-27
  • Supported by:

    Foundation from Chongming Branch of Xinhua Hospital, Shanghai Jiaotong University School of Medicine

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摘要：

目的 对上海市崇明县离休干部常见的9种慢性病的患病状况进行调查分析。方法 采用流行病学调查方法对现居该县的所有离休老干部（n=268）进行普查，全部病历资料来自该院的干部门诊、体检中心、干部病房及上门调查，疾病分类诊断参照国际疾病分类标准ICD-10。实查249人，应答率 92.9%。回顾性分析被调查者慢性病的发病率和病种分布情况。结果 慢性病的发病率为 98.39%（245/249），单病种的发病率依次为冠心病73.1%、高血压病72.3%、脑卒中35.7%、慢性阻塞性肺病34.5%、胃炎和溃疡病33.7%、糖尿病28.1%、慢性肾脏病20.5%、老年性痴呆14.5%、恶性肿瘤14.1%。被调查者同时患3种以上疾病的比例为 83.5%，患7种以上疾病的比例为9.1%；肿瘤的发病率高达14.1%。结论 离休干部的疾病谱以心脑血管疾病为主，同时患有多种疾病是最重要的流行病学特征；老年人肿瘤的发病率较高不容忽视，应有针对性地采取预防、综合分析及兼顾治疗。

关键词: 离休干部, 流行病学调查, 慢性病, 发病率, 病种分布

Abstract:

Objective To investigate the prevalences of 9 common chronic diseases in retired cadres in Chongming County of Shanghai. Methods General epidemiological investigation was conducted in all retired cadres (n=268) living in Chongming County of Shanghai, and all data were collected from the cadre clinic, physical examination center and ward of cadres of Chongming Branch of Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine and on-site investigation. The diagnostic standard of classification of diseases referred to the standards of International Classification of Diseases ICD-10. Two hundred and forty-nine people were investigated actually, and the response rate was 92.9%. The prevalences of chronic diseases and distribution of diseases in retired cadres were retrospectively analysed. Results The prevalences of chronic diseases were 98.39% (245/249), and the prevalences of coronary heart disease, hypertension, stroke, chronic obstructive pulmonary disease, gastritis and gastric ulcer, diabetes mellitus, chronic kidney disease, dementia and malignant tumors were 73.1%, 72.3%, 35.7%, 34.5%, 33.7%, 28.1%, 20.5%, 14.5% and 14.1%, respectively. The prevalence of having 3 diseases in the same cadre was 83.5%, that of having 7 diseases in the same cadre was 9.1%, and that of tumor was 14.1%. Conclusion Cardiovascular and cerebrovascular diseases dominate the disease spectrum of retired cadres. Various diseases may seize the same retired cadres at the same time, which is the most important epidemiological characteristics. The prevalence of tumors is higher in old people. Appropriate preventive measures should be taken, and proper treatment should be performed in the cadres.

Key words: retired cadre, epidemiological investigation, chronic disease, prevalence, distribution of disease