Abstract: Objective　To know the health status of the disabled in Shanghai and to provide scientific basis for health intervention and management of disabled persons.Methods　Through the "Comprehensive Information Platform for Rehabilitation" of Shanghai Disabled Persons’ Federation,93 267 health examination data of the disabled were collected from Shanghai Sunshine Rehabilitation Center from January 2011 to August 2014,and from Shanghai Training Center of Vocation and Rehabilitation from January 2013 to June 2014（61 969 in the former institution and 31 298 in the latter）.The basic demographic information,disability type,and physical examination data were primarily collected,and the detection status of disease,positive signs and abnormal indicators in laboratory of the disabled were calculated and analyzed.Results　Among the 93 267 disabled persons,the top 3 types of disability were limbs disability（49.71%,46 361/93 267）,visual disability（21.09%,19 672/93 267）,and mental disability（12.89%,12 021/93 267）.The top 3 detection rate of diseases were fatty liver（38.22%,21 877/57 243）,fundus atherosclerosis（37.37%,28 153/75 336） and pharyngitis（31.90%,14 716/46 126）;the top 3 detection rate of positive signs were high blood pressure（44.23%,40 853/92 364）,increased and thickened lung markings（43.04%,33 539/77 928） and overweight（35.43%,32 276/91 097） respectively;the top 3 detection rate of abnormal indexes in laboratory were urine specific gravity（34.83%,27 007/77 524）,red cell distribution width（31.32%,28 939/92 389）,and the amount of basophilic granulocyte（30.53%,24 710/80 941） respectively.Conclusion　The health status of the disabled in Shanghai is poor and complex.It is suggested that the relevant departments should pay more attention to the status of the disabled so as to achieve the standardization health information collection of the disabled.

Key words: Disabled persons, Health status, Shanghai

摘要： 目的　了解上海市残疾人的健康状况，为残疾人群的健康干预和管理提供科学依据。方法　通过上海市残疾人联合会的“康复综合信息平台”，收集2011年1月—2014年8月上海市阳光康复中心和2013年1月—2014年6月上海市康复职业培训中心的残疾人健康体检数据93 267份（上海市阳光康复中心61 969份，上海市康复职业培训中心31 298份）。主要收集内容包括残疾人的基本人口学情况、残疾类型、健康体检数据，计算并分析残疾人疾病、阳性体征及实验室异常指标的检出情况。结果　93 267例残疾人中，残疾类型排在前3位的分别为肢体残疾（49.71%，46 361/93 267）、视力残疾（21.09%，19 672/93 267）、智力残疾（12.89%，12 021/93 267）。检出率排在前3位的疾病分别为脂肪肝（38.22%，21 877/57 243）、眼底动脉硬化（37.37%，28 153/75 336）、咽炎（31.90%，14 716/46 126）；检出率排在前3位的阳性体征分别为血压偏高（44.23%，40 853/92 364）、肺纹理增多增粗（43.04%，33 539/77 928）、超重（35.43%，32 276/91 097）；检出率排在前3位的实验室异常指标分别为尿比重（34.83%，27 007/77 524）、红细胞分布宽度（31.32%，28 939/92 389）、嗜碱粒细胞计数（30.53%，24 710/80 941）。结论　上海市残疾人的健康状况较差，且较为复杂。建议相关部门加强重视，实现残疾人健康信息规范化采集。

关键词: 残疾人, 健康状况, 上海