企业医疗保险人员高血压及糖尿病患病分析
Prevalence of hyperten sion and diabetes complication among people with enterprise medical insurance pension
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摘要: 目的 分析辽宁省大连市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,通过整群随机抽样方法抽取13 691人作为研究对象;采用SPSS 11.5统计软件进行分析。结果 高血压的患病率为79.7%,糖尿病为47.4%,高血压并发糖尿病的患病率为30.5%;高血压并发冠心病的最多,占80.6%;糖尿病并发视网膜病变的最多,占60.3%;2种慢性病并发冠心病、视网膜病变和脑卒中都有随年龄增高而增加的趋势,而肾病在低年龄组人群中的患病率较高;高血压患者中女性冠心病视网膜病变并发症患病率较高,分别为83.9%,79.4%,男性脑卒中并发症患病率高,为45.25%。结论 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,低年龄段应以预防和控制肾病为主;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脑卒中。Abstract: Objective To investigate epidem iologicfeature of chronic disease among thepeoplewith enterprisemedical insurance pension in Dalian and to provide scientific evidence for medical care assurance and chronic disease control.Methods A total of 13691 people with enterprise medical insurance were investigated with random sampling and their health exam ination datawere analyzedw ith SPSS 11.5.Results Of the subjects, 79.7% had hypertension; 47.4% had diabetes; 30.5% had both hypertension and diabetes.Theprevalences of coronary heart disease, stroke, and retinopathywere increased with age Younger subjects had higherprevalence of kidney disease.The female subjects had a higherprevalences of coronary heart disease (83.9%)and retinopathy (79.4%).The prevalence of stroke was higher in the male subjects.Conclusion The prevalence of coronary heart disease, stroke and retinopathy should be controled in the old people and the prevalence of kidney disease in younger people.Also, more attention should be paid for coronary heart disease and retinopathy in the female, and the stroke in the male.
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