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北京城乡几种常见老年病流行病学调查

高芳坤1 于普林1 郑 宏1 杨 泽1 谷明明1 张培兰1 洪衣舒2 苏鸿学2

黄魏宁2 胡建华2 李增金2 刘桂芳2 姜中央2 余存泰2 左 涛2

  摘要 为了解影响老年人生存质量的几种常见老年病的现状和分布特点,用随机、整群抽样的方法对北京城乡1 434例60岁及以上老年人进行问卷调查和体检。结果表明:在老年人中前列腺增生、老年聋、白内障、骨关节病、骨折、便秘患病率城市分别为61.4%、53.9%、46.4%、24.4%、14.2%、18.2%,乡村患病率分别为65.7%、64.7%、44.4%、14.9%、9.1%、23.0%。城市老年人骨关节病(P<0.01)、骨折(P<0.05)患病率高于乡村,乡村老年聋(P<0.01)、便秘(P<0.05)患病率高于城市;老年人上述几种常见病的既往诊断率均低于现患率(P均<0.01),且农村低于城市(P<0.01)。因此应加强老年人特别是农村老年人常见病的防治工作。
  关键词 老年人 流行病学
An Epidemiology Study on Common Diseases Among the Elderly in Beijing Gao Fangkun,Yu Pulin,Zheng Hong,et al. Beijing Institute of Geriatics,Ministry of Public Health,Beijing 100730
  Abstract In order to study the status and characteristics of some common diseases of elderly which seriously influence the Quality of Life of the elderly,1434 elderly over 60 years old in the urban and rural areas of Beijing were investigated with a randoml sampling method.The results showed that prostate hyperplasia,deafness,cataract,osteoarthropathy,bone fracture and constipation among the elderly were 61.4%,53.9%,46.4%,24.4%,14.2% and 18.2% in the urban areas,and 65.7%,64.7%,44.4%,14.9%,9.1% and 23.0% in the rural areas respectively.The prevalence rates of osteoarthropathy (P<0.01) and bone fracture (P<0.01) were higher in the urban areas than in the rural areas (P<0.01).In contrast,the prevalence rates of deafness (P<0.01) and constipation (P<0.05) of the elderly were higher in the rural than those in the urban.The prevalence rates of above diseases were lower when selfreporting than that by the medical examination,and also lower in the rural than in the urban (P<0.01).Hence,the prevention and treatment of the common diseases of elderly should be strengthened,especially in the rural areas.
  Key words Elderly  Epidemiology

  为了解严重影响老年人健康和生存质量的几种常见老年病的现状和分布特点,我们于1997年5~10月对北京城乡老年人几种常见老年病进行了流行病学调查,现报告如下。

材料与方法

  一、研究对象:采用随机、整群抽样的

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