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目的了解中年高级知识分子(高知)5年健康变化情况,为制定健康管理策略提供依据。方法对某研究所中年高知2009年和2014年健康体检的异常指标进行比较分析。结果 5年后,健康体检异常指标检出率由95.36%降至89.80%(P<0.05);超重与肥胖、三酰甘油升高、高血压检出率居前三位;三酰甘油升高、高血压、丙氨酸氨基转移酶升高、脂肪肝及血糖升高的检出率均下降(P<0.05)。男性三酰甘油升高、高血压、丙氨酸氨基转移酶升高、脂肪肝及血糖升高的检出率均下降(P<0.05);女性三酰甘油升高、丙氨酸氨基转移酶升高及脂肪肝的检出率下降(P<0.05);41岁~组超重与肥胖、三酰甘油升高、高血压、丙氨酸氨基转移酶升高、脂肪肝、血糖升高、尿酸升高检出率均下降(P<0.05);结论中年高知健康状况较5年前有所好转,主要健康问题为代谢性疾病。应采取多种干预措施,提高中年高知人群的健康状况。
Objective To understand the five-year health changes of middle-aged senior intellectuals (Kochi) and provide the basis for the development of health management strategies. Methods A comparative analysis was made on the anomalous indexes of physical examination of middle-aged Kochi in 2009 and 2014 in a research institute. Results After 5 years, the detection rate of abnormal physical examination index decreased from 95.36% to 89.80% (P <0.05); overweight and obesity, triglyceride increased, the highest rate of hypertension was detected; triglyceride increased , High blood pressure, elevated alanine aminotransferase, and lower detection rate of fatty liver and hyperglycemia (P <0.05). Men with elevated triglycerides, high blood pressure, elevated alanine aminotransferases, and decreased rates of fatty liver and hyperglycemia (P <0.05), elevated triglycerides, increased alanine aminotransferase (P <0.05); 41 years old group overweight and obesity, elevated triglyceride, hypertension, elevated alanine aminotransferase, fatty liver, elevated blood glucose, uric acid (P <0.05). Conclusion The health status of middle-aged Kochi people improved compared with 5 years ago, and the main health problems were metabolic diseases. A variety of interventions should be taken to improve the health of middle-aged Kochi people.