2012年凯里市从业人员健康体检结果分析

Healthy examination results analysis of the employee in Kaili in 2012

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 situation of the people employed in Kaili city. Methods Persons who underwent skin tests, X - ray inspection for tuberculosis , fetching the vein blood serum of persons who are examined, detect the HAV -IgM, HEV -IgM, ALT and take stool for typhoid, paratyphoid Salmonella and Shigella bacteria culture. Results Totally 3511 employees attended the health examination, the pass rate was 99.29%. Among the 25 unqualified people, HAV -IgM positive for 4 people, positive rate was 0. 11% ; HEV - IgM positive for 14 people, positive rate was 0.40% ; active pulmonary tuberculosis were 7, the detec- tion rate was 0. 20% , purulent and exudative skin diseases, dysentery, typhoid and paratyphoid were not de- tected. There was no statistical significance between different genders, ages and profession, the positive rate of HAV - IgM, HEV - IgM and the detection rates of active tuberculosis , the positive rate of the abnormal ALT is 1.79% o Except the gender factor, the different sectors and age detection rate of abnormal ALT was no significant difference. Conclusions Should strengthen supervision and management; conduct health check on a regular basis to medical practitioners; actively carry out health education and health promotion, susceptible to infectious diseases and other comprehensive measures to vaccinate, in order to block the spread of infectious diseases through the service employment.