摘要:目的 了解深圳市福田区65岁及以上老年人的健康状况,分析其卫生服务需求,为针对性开展社区老年人健康管理提供依据.方法 选取2014—2015年在福田区接受免费健康体检的17937名65岁及以上老年人的体检资料,分析其体检结果,同时采用问卷的方式,调查卫生服务需求变化.结果 共检出体检异常者10774名(60.07%),前5位健康问题依次是高血压(36.46%)、血脂异常(22.29%)、糖尿病(18.8%)、心电图异常(11.75%)、超重或肥胖(11.05%);女性疾病或指标异常的检出率显著高于男性,主要表现为高血压、血脂异常、心电图异常,≥80岁年龄段疾病或指标异常的检出率最高,2种以上疾病或指标异常的检出率最低,高血压、血脂异常、糖尿病、心电图异常的检出率随年龄增长而增加.2015年高血压的检出率显著低于2014年(P< 0.05),而2014年、2015年其余疾病或指标异常的检出率差异无统计学意义(P>0.05).2015年老年人对定期体检、上门诊疗及康复指导的需求率均显著高于2014年(P<0.05).结论 心脑血管疾病仍是辖区老年人的主要健康问题,应加强定期体检和检后健康管理,完善社区老年人的规范管理.%Objective To investigate the health status in elderly people aged 65 years and over in Futian district, analyze the health service demand,in order to providen the reference for carrying out yargeted community health management in eldrly people.Methods The physical examination data of 17 937 cases of elderly people aged 65 years and over who receive free health examination in Futian district from 2014 to 2015 were selected and analyzed, and changes of health service demand was investigated with the method of questionnaire.Results There were 10 774 people with physical abnormality,accounting for 60.07%.The top five health problems were hypertension (36.46%),dyslipidemia(22.29%),diabetes(18.8%),abnormal ECG(11.75%),overweight or obesity(11.05%). The detection rate of diseases or abnormal index in females was significantly higher than that in males,mainly reflec-ted in hypertension,dyslipidemia,abnormal ECG.Age group of ≥80 years old had highest detection rate of diseases or abnormal index,and lowest detection rate of diseases or abnormal index more than two kinds.Detection rate of hy-pertension,dyslipidemia,diabetes,abnormal ECG increased with age.The detection rate of hypertension in 2015 was significantly lower than that in 2014(P<0.05),while there were no significant difference on the rest of disease or abnormal index between these two years(P>0.05).The demand rate of regular physical examination,family health service,rehabilitation guidance in 2015 in elderly people were significantly higher than those in 2014(P< 0.05). Conclusion Cardiovascular and cerebrovascular diseases are still the major health problems of elderly people in the community.We should pay more attention to strengthen regular physical examination and health management,im-prove standardized management of the elderly.