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目的了解医院职工的身体健康状况,为有针对性地采取预防保健和干预措施提供依据。方法 2011年4月对天津市某医院1 473名职工进行健康检查,包括临床常规项目(20余项)和加检项目检查(35岁以上人员加检血糖、血脂、血流变、肾功能,男性加检泌尿系B超,女性加检妇科检查、妇科B超、乳房检查、宫颈图片检查),并对检查结果进行统计分析。结果受检者异常总检出率为79.4%,其中男性检出率79.9%,女性检出率78.8%。检出率较高的前3种疾病依次为总胆固醇偏高占22.06%,高血压占14.80%,甘油三酯偏高占9.44%;男性检出率最高的是高血压,女性是高胆固醇。除了血脂异常和高血压,49岁以下人群脂肪肝检出率最高,50岁以上眼底动脉硬化检出率最高。结论代谢疾病是危害该院职工健康的主要问题,男性和中年职工是患病的高危人群。健康检查是早期发现疾病的根本途径,因此,做好健康检查管理和健康教育工作,对预防相关慢性病的发生有重大意义。
Objective To understand the health status of hospital staff and provide the basis for targeted preventive health care and intervention measures. Methods A total of 1 473 workers in a hospital in Tianjin were examined in April 2011, including more than 20 clinical routine items and additional items (over 35 plus blood glucose, blood lipids, blood rheology, renal function, Male plus test urinary system B, women check gynecological examination, gynecological B-ultrasound, breast examination, cervical picture examination), and the statistical analysis of the test results. Results The total abnormal rate of the subjects was 79.4%, of which 79.9% were male and 78.8% were female. The first three diseases with higher detection rate were 22.06% of total cholesterol, 14.80% of hypertension and 9.44% of high triglycerides. The highest detection rate of male was hypertension and the other was high cholesterol. In addition to dyslipidemia and hypertension, the highest detection rate of fatty liver in people under 49 years of age, 50 years of age above the highest detection rate of retinal atherosclerosis. Conclusion Metabolic diseases are the major problems endangering the health of workers in the hospital. Men and middle-aged workers are the most at-risk people. Health screening is the fundamental way to find the disease in the early stage. Therefore, to do the health check management and health education is of great significance to prevent the related chronic diseases.