功能社区职业人群心血管危险因素健康管理模式的探讨

Discussion of mode on health management of cardiovascular risk factors for occupational population in function community

目的通过了解在职企业员工的心血管危险因素的聚集情况，探讨功能社区实施健康管理适宜的模式。方法以2422名在职体检人员为研究对象，分析心血管危险因素聚集情况、对各代谢异常指标按年龄、性别分组进行相关性分析，提出实施健康管理模式的建议。结果（1）研究人群中有69．2％至少有一种危险因素，其中具有2种和3种以上危险因素的则分别占有22．4％和16．1％；（2）超重及肥胖、高血压、高血糖、高尿酸的患病率中男性均高于女性；年龄40～59岁之间各异常指标均显著高于〈40岁年龄组。结论随着年龄的增加，人群中心血管危险因素随之增加，尤其肥胖和超重更为显著，因此，在功能社区对在职人员早期进行生活方式及行为的健康管理干预，可以很大程度的降低或延迟心血管病的发病率，具有重要意义。

Objective To investigate the status of cardiovascular disease risk factors cluster in on-the-job check-up personnel and discuss comprehensive health management scheme.Methods 2422 workers were made physical examinations.The cardiovascular disease risk factors were analyzed,and the suggestions about health management were proposed.Results The study indicated that 69.2% of the subjects have at least one of the following cardiovascular disease risk factors.Clustering of 2 and more than 3 risk factors was 22.4% and 16.1% respectively.Men had higher prevalence of overweight, obesity, high blood pressure, high blood sugar and high uric acid than women.Conclusion The risk of the cardiovascular disease would increase with age, especially overweight and obesity. So it was important significance of management and intervention the health program of lifestyle early would decrease the risk and delay the occur of cardiovascular disease.