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目的探讨个性化制定并规范健康管理体检项目的重要性。方法本研究资料来源于郑州大学第一附属医院体检中心2013年6月至2014年6月定期体检的18~65岁人群的体检资料,共474例,根据年龄分为青年组(18~44岁)和中老年组(45~65岁),比较两组研究对象体检项目检查结果,根据个人健康资料制定个性化健康管理方案,1年后随访,分析个性化制定和规范健康管理体检项目的重要性。结果中老年组检查率均高于青年组,两组间血压、空腹血糖、肝肾功能检查、心电图、颈部B超、胸部X线/CT检查异常率比较差异均有统计学意义(P<0.05),血脂、体质指数(BMI)异常率比较差异均无统计学意义(P>0.05)。青年组在接受个性化健康管理后,在肥胖、高血压、糖尿病、高脂血症、肝肾功能、颈动脉斑块、胸部X线/CT方面较个性化健康管理前差异均有统计学意义(P<0.05);中老年组在接受个性化健康管理后,在肥胖、高血压、高脂血症、肝肾功能、胸部X线/CT方面较个性化健康管理前差异均有统计学意义(P<0.05)。结论中老年人群对健康体检项目的依从性普遍高于青年人群,个性化制定并规范健康管理体检项目的实施对预防人群慢性疾病的发生、发展有良好的效果,可有效改善人群亚健康状态,对于提高人群生活质量、预防疾病的发生具有重要意义。
Objective To explore the importance of personalizing and standardizing the health management of medical examinations. Methods The data of this study were obtained from the physical examination data of 18-65-year-olds who took physical examination at the Physical Examination Center of the First Affiliated Hospital of Zhengzhou University from June 2013 to June 2014, a total of 474 cases were divided into young group (18-44 years old ) And middle-aged group (45-65 years old). The results of physical examination of two groups of subjects were compared. Personalized health management plan was formulated according to personal health data. Follow-up was conducted after 1 year. It is important to analyze and formulate individualized health management and medical examination items Sex. Results The examination rate of middle and old age group was higher than that of youth group. The blood pressure, fasting blood glucose, liver and kidney function test, electrocardiogram, B-neck ultrasound and chest X-ray / CT abnormal rate were significantly different between the two groups (P < 0.05). There was no significant difference in the abnormal rates of blood lipid and body mass index (BMI) (P> 0.05). The young group had statistically significant differences in individual health management before and after personalized health management in terms of obesity, hypertension, diabetes, hyperlipidemia, liver and kidney function, carotid artery plaque and chest X-ray / CT (P <0.05). There was significant difference in the management of obesity, hypertension, hyperlipidemia, liver and kidney function, chest X-ray / CT before and after personalized health management in middle-aged and elderly patients (P <0.05). Conclusion The middle-aged and elderly people’s compliance with the health examination items is generally higher than that of the young people. Personalizing and standardizing the implementation of the health management and medical examination items has a good effect on preventing and treating the occurrence and development of chronic diseases in the population, and can effectively improve the sub-health status, For improving the quality of life of the population, prevention of disease is of great significance.