Objective To investigate the health status of the elderly and health services in community. MethodsA total of 340 familyprofiles were randomly sampled,which were from Nanyuandong committeeof Guangzhou city andinvestigated for the health status of the elderly over age 60. ResultsAbout 69.05% of the elderly were found to havechronic diseases,among which,the topfive were hypertension,cataract,coronary heart disease,chronic bronchitisand diabetesmellitus.Cigarette-smokingand high-salt diet were riskfactors for hypertension,while participatingin physical exercisecould effectively reduce the incidence of coronary heart disease and diabetes mellitus. Conclusions On thebasis of preventivehealth care,the development of community health services should be strengthened,which is a main way to solvehealth problemsin the elderly.
目的:通过B型超声诊断仪检查肝、胆、脾、肾等,分析B超检查在海船船员健康体检中的价值。方法:采用日立5500超声诊断仪,空腹情况下按常规进行肝、胆、脾、双肾、膀胱探测,依据超声医学声像图诊断标准做出诊断,并按45~50岁、51~55岁、56岁以上3个年龄组进行分析。结果:对920例海员船员进行B超肝、胆、脾、双肾、膀胱探测,检出肝、胆、肾疾病等9种,疾病共515例(55.98%)。其中部分病例含有2种或2种以上的异常指标,其中检出肝脏疾病293例(31.8%),占检病率56.9%。脂肪肝172例(18.7%),占检病率33.4%;胆囊疾病119例(12.9%),占检病率23.1%。胆囊息肉样病变共85例(9.2%),占检病率16.5%;胆囊结石共31例(3.4%),占检病率6.0%;泌尿系疾病93例(10.0%),占检病率18.1%。泌尿系统结石46例(5.0%),占检病率7.0%。结论:B超在海船海员行健康体检能及时发现疾病,及时治疗,具有临床应用价值。
甲状腺功能亢进症,简称"甲亢".是指甲状腺组织增生、功能亢进、产生和分泌甲状激素过多所引起的一组临床综合征.血中甲状腺素明显升高,是较常见的内分泌疾病.下面谈谈甲状腺功能亢进症在社区的健康干预.
<正>糖尿病肾病是糖尿病常见的并发症,是糖尿病全身性微血管病变导致的肾小球硬化症,临床特征有蛋白尿、高血压、水肿、渐进性肾功能损害等,晚期可出现严重肾功能衰竭,是糖尿病患者的主要死亡原因之一。本文总结了糖尿病肾病在社区的综合健康干预措施报告如下。
血脂是血清中所有"脂质"的总称.脂质不溶解或微溶解于水,在血浆中以与蛋白质结合(脂蛋白)的形式运转全身,因此高脂血症实际指的是高脂蛋白血症.血浆中主要血脂成分有胆固醇(C)、甘油三酯、磷脂及游离脂肪酸,此外尚有微量的类固醇激素及脂溶性维生素等.通常情况下,主要指血浆总胆固醇(TC)和甘油三酯(TG).
1.临床资料 患者,男,56岁,因夜尿频6年,反复右(足母)趾关节肿痛2年,左颈部肿痛月余,发热1周入院.查体:T39.7℃,P 106次/分,R 24次/分,BP 22/13kPa(1kPa=7.5mmHg),消瘦,贫血貌,颈部可扪及5cm×7cm大小肿物.边缘清,活动度差,轻度压痛.腹软,全腹无压痛及反跳痛,肝脾肋下未触及肿大,双下肢无水肿.
