目的摸清甘肃省白银市靖远县某贫困村致贫原因和贫困户的健康状况,以便针对影响健康状况的不良因素采取预防干预措施。方法选择常规体检项目,2015年12月对在家村民210人进行了一次较全面的健康体检。结果体检发现位居前五位的疾病依次为高血压病(52人)、糖尿病(38人)、高脂血症(34人)、白细胞尿(26人)和脂肪肝(17人),患病率分别为24.8%、18.1%、16.2%、12.4%和8.1%;高血压病和糖尿病发病主要在60岁~组,患病率分别为36.4%(χ~2=8.644)和29.9%(χ~2=12.833),差异均有统计学意义(均P<0.05);男性患高血压病居多,检出28人、患病率31.5%(χ~2=2 177.273),女性患白细胞尿居多,检出23人、患病率19.0%(χ~2=11.559),性别间差异有统计学意义(均P<0.05)。结论加大对贫困农村地区人群的健康宣传力度,实施长期、持续、有针对性的健康干预方案,培养其养成良好的健康行为习惯,可减少常见疾病的发生和发展,助力加快贫困村脱贫致富。 Objective To find out the causes of poverty and the health status of poor households in a poor village in Jingyuan County, Baiyin City, Gansu Province, in order to take preventive interventions on the adverse factors that affect health status. Methods The routine physical examination items were selected. In December 2015, 210 more villagers were enrolled in a comprehensive physical examination. Results The top five diseases in the physical examination were hypertension (52), diabetes (38), hyperlipidemia (34), leucocytosis (26) and fatty liver (17) The prevalences of hypertension and diabetes were mainly in the 60-year-old group with prevalences of 36.4% (χ ~ 2 = 8.644) and 29.9% (χ ~ 2 = 8.644), respectively (P <0.05). The prevalence of hypertension in males was 28%, with a prevalence of 31.5% (χ ~ 2 = 2 177.273). Female patients with leucocyturia Mostly, 23 people were detected with a prevalence of 19.0% (χ ~ 2 = 11.559). There were significant differences among the sexes (all P <0.05). CONCLUSIONS: To increase the health promotion of poor rural population and implement long-term, continuous and targeted health intervention programs to cultivate good health habits that can reduce the incidence and development of common diseases and help speed up poverty alleviation in poor villages Get rich.