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目的了解凯里市从业人员健康状况。方法对受检者给予皮肤检查、X线透视进行肺结核检查,取静脉血清进行HAV-IgM、HEV-IgM及ALT检测,取大便进行伤寒、副伤寒沙门氏菌及痢疾志贺菌培养。结果 2012年共有3 511人进行健康体检,合格率为99.29%。不合格的25人中,HAV-IgM阳性4人,阳性率为0.11%;HEV-IgM阳性14人,阳性率为0.40%;活动性肺结核7人,检出率0.20%。未检出化脓性及渗出性皮肤病、痢疾、伤寒及副伤寒。不同性别、年龄、行业之间HAV-IgM、HEV-IgM阳性率和活动性肺结核检出率差异均无统计学意义。单纯ALT异常检出率为1.79%,除性别外,不同行业及年龄ALT异常检出率差异无统计学意义。结论应采取加强从业人员的卫生监督管理;定期对从业人员进行体检;积极开展健康教育和健康促进工作,对传染病易感人群进行疫苗接种等综合措施,以阻断传染病通过服务行业从业人员传播。
Objective To understand the health status of employees in Kaili City. Methods The subjects were given skin examination and X-ray examination for pulmonary tuberculosis. Venous serum was taken for detection of HAV-IgM, HEV-IgM and ALT. The stools were taken for typhoid, paratyphoid Salmonella and Shigella dysenteriae cultures. Results In 2012, a total of 3,511 people had physical examinations, and the pass rate was 99.29%. Of the 25 unqualified individuals, 4 were positive for HAV-IgM, with a positive rate of 0.11%; 14 were positive for HEV-IgM, with a positive rate of 0.40%; and 7 were active tuberculosis with a detection rate of 0.20%. Suppurative and exudative skin diseases, dysentery, typhoid and paratyphoid were not detected. There was no statistically significant difference in HAV-IgM, HEV-IgM positive rates, and active tuberculosis detection rates between genders, ages, and professions. The detection rate of simple ALT abnormality was 1.79%. Except gender, there was no significant difference in the detection rate of abnormalities in different industries and ages. Conclusion It is necessary to strengthen the health supervision and management of practitioners; conduct regular medical examinations on employees; actively carry out health education and health promotion work, and implement comprehensive measures such as vaccination on vulnerable groups of infectious diseases to block infectious diseases through the service industry. spread.