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目的调查贵阳地区部分职工的健康状况并探讨相关的健康管理措施。方法于2011年1月～2011年12月对贵阳地区16636名职工进行健康体检,体检项目主要包括常规查体、心电图检查、胸片检查、超声检查、血尿便常规以及生化全项等。收集资料,按照不同年龄、不同性别进行分类汇总,统计分析各病种的发生率。结果高血压检出率总体变化趋势随年龄增长而升高,在各个年龄段男性检出率均高于女性,男性总检出率为70.62%,明显高于女性的29.38%,比较差异有统计学意义(P﹤0.05);与脂代谢异常相关的指标(超重、轻度肥胖、中度肥胖、轻度脂肪肝、中度脂肪肝、重度脂肪肝、甘油三酯、总胆固醇、高密度脂蛋白和低密度脂蛋白)随年龄变化趋势呈单峰状,检出率高峰主要在35～44岁组和45～54岁组患者,且在各个年龄段男性检出率均高于女性,各指标男性总检出率明显高于女性,比较差异有统计学意义(P﹤0.05);糖尿病检出率总体变化趋势随年龄增长而增长,在各个年龄段男性检出率均高于女性,男性总检出率为63.56%,明显高于女性的36.44%,比较差异有统计学意义(P﹤0.05)。结论高血压、糖尿病、高脂血症、肥胖以及超重等是影响贵阳地区职工健康的主要原因,应该制定合理的健康管理方案指导本地区职工科学膳食和规律运动以改善职工的健康状况。
Objective To investigate the health status of some workers in Guiyang and to explore related health management measures. Methods From January 2011 to December 2011, 16636 workers in Guiyang district were given physical examination. The physical examination items included routine physical examination, electrocardiogram examination, chest radiography, ultrasonography, routine hematuria, and biochemistry. Collect information, according to different age, sex, sub-summary, statistical analysis of the incidence of various diseases. Results The overall trend of detection rate of hypertension increased with age. The detection rate of men in all age groups was higher than that of women. The total detection rate of male was 70.62%, significantly higher than that of women (29.38%), with statistical difference (P <0.05); indicators related to abnormal lipid metabolism (overweight, mild obesity, moderate obesity, mild fatty liver, moderate fatty liver, severe fatty liver, triglycerides, total cholesterol, high density lipids Protein and low density lipoprotein) showed a single peak with the age trend. The peak detection rate was mainly in the patients aged 35-44 and 45-54 years old, and the detection rate was higher in all age groups than in women The overall detection rate of male was significantly higher than that of female, the difference was statistically significant (P <0.05). The overall trend of diabetes detection rate increased with age, and the detection rate of male in all age groups was higher than that of female The total detection rate was 63.56%, which was significantly higher than that of women (36.44%), the difference was statistically significant (P <0.05). Conclusions Hypertension, diabetes mellitus, hyperlipidemia, obesity and overweight are the main reasons that affect the health of workers in Guiyang. Reasonable health management programs should be established to guide the scientific diet and regular exercise of employees in the region to improve the health of workers.