目的探讨老年人身体健康状况,为更好地开展慢病管理、健康教育工作提供依据。方法对2013年辖区内自愿参加体检的2586名65岁以上老年人健康体检结果进行分析,体检项目包括身高、体重、血压、血糖、丙氨酸转移酶(ALT)、血脂和心电图。结果 2586名体检者中,高血压检出率为53.9%,高血糖检出率为10.7%,高血脂检出率为62.8%,体重超重或肥胖检出率为52.5%,心电图异常检出率为53.5%,丙氨酸转移酶异常检出率为4.8%;且女性血脂异常检出率(χ2=100.936,P=0.000)和心电图异常检出率(χ2=6.973,P=0.008)均显著高于男性。结论慢性病是影响老年人身体健康状况的重要因素,应加强对老年人慢性病的随访和干预,同时倡导健康的生活方式。 Objective To investigate the physical health status of the elderly and provide the basis for better management of chronic disease and health education. Methods The health examination results of 2586 elderly people over the age of 65 who volunteered for physical examination in 2013 were analyzed. The physical examination items included height, weight, blood pressure, blood glucose, alanine aminotransferase (ALT), lipids and electrocardiogram. Results Among 2586 subjects, the detection rate of hypertension was 53.9%, the detection rate of hyperglycemia was 10.7%, the detection rate of hyperlipidemia was 62.8%, the detection rate of overweight or obesity was 52.5%, the detection rate of abnormal ECG (Χ2 = 100.936, P = 0.000) and ECG abnormality detection rate (χ2 = 6.973, P = 0.008) were significantly higher than those of the control group (53.5%), and the abnormality of alanine aminotransferase was 4.8% Higher than men. Conclusion Chronic disease is an important factor affecting the health status of the elderly. It is necessary to strengthen the follow-up and intervention on chronic diseases of the elderly and advocate a healthy life style.