摘要
目的:通过体检结果了解重庆市某大型汽车企业员工的健康状况,分析连续3年健康管理的效果。方法对重庆市某大型汽车企业员工连续3年进行健康体检,每年体检后,实施健康管理措施,探讨健康管理干预对健康改善的作用。结果连续3年体检结果显示血脂异常、脂肪肝和慢性宫颈炎始终处于检出率前3位。通过健康管理后2009年~2010年血脂异常检出率呈逐年下降(P<0.05),而慢性宫颈炎检出率呈增加的趋势(P<0.05)。2010年高尿酸血症及肝功能异常检出率与2008年相比显著下降(P<0.05)。在男性中血脂异常检出率3年均排首位,且前6位疾病除脂肪肝和乙型肝炎携带外2010年检出率较2008年显著降低(P<0.05)。在女性中,慢性宫颈炎检出率3年均居首位,且逐年增加(P<0.05),检出率排前6位的疾病中,血脂异常检出率逐年下降(P<0.05),而高血压及脂肪肝检出率呈现增加的趋势(P<0.05)。结论企业员工通过健康管理对营养代谢相关的健康问题有改善作用,尤其在男性中改善更为明显。通过健康体检后实施健康管理措施对改善健康有积极作用。因此,重视健康教育,加强健康管理,养成健康生活方式,提高自我的保健意识,对预防和改善疾病至关重要。
Objective:To understand the health situation of the staf in one large automobile enterprise in Chongqing and analyse the improvement of health conditions by health management for 3 consecutive years.Methods:The staf in a large company had regular health examinations for 3 consecutive years.After every physical examination,health management was carried out to explore whether health intervention can improve the health conditions.Results:The results of physical examination in 3 consecutive years showed that detection rates of dyslipidemia,fat y liver and chronic cervicitis ranked in top 3.Dyslipidemia detection rates declined year by year after health management in 2009 and 2010(P<0.05),while chronic cervicitis incidence had an increasing trend(P<0.05).Incidence of hyperuricemia and abnormal liver function in 2010 was significantly decreased compared to 2008(P<0.05).In males,dyslipidemia detection rates ranked first for 3 consecutive years and the top six diseases detection rates in 2010 decreased significantly except for fat y liver disease and hepatitis B comparing to 2008(P<0.05).In females,detection rates of chronic cervicitis ranked first for 3 consecutive years and increased year by year(P<0.05),In the top six diseases,the detection rate of dyslipidemia decreased year by year(P<0.05),however,hypertention and fat y liver disease detection rates showed increasing trends(P<0.05).Conclusion:healthy problems related to Nutrition metabolism among the enterprise staf could improve through health management,especial y in males.Health management measures have a positive role in health improvement.So,It is crucial to prevent disease and improve health by paying at ention to health education,strengthening the health management and healthy life style and improving self-care awareness.
作者
张元贤
谢微波
王小林
李永强
ZHANG Yuan-xian;XIE Wei-bo;WANG Xiao-lin;LI Yong-qiang(The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
基金
重庆市渝中区软科学研究项目(20110213)
国家临床重点专科护理建设项目资助(财社[2010]305号)。
关键词
健康体检
健康管理
健康改善
Physical examination
Health management
Health improvement