某机关公务员健康结果分析及健康指导

The Analysis of Some Civil Servants of the Health Outcome and Health Guides

目的：了解某机关公务员健康状况,为该人群预防保健工作提供依据。方法：对2013年来本院进行健康体检的763名公务员体检结果进行回顾性分析。结果：某机关工作人员身体健康状况不容乐观,仅4人所检项目未见明显异常,体检合格率仅为0.53%。异常检出率居前10位依次为是高尿酸血症,血脂异常,高血压,心电图异常,胆囊息肉、结石,肝功能异常,前列腺疾病,脂肪肝,肝肾囊肿,空腹血糖升高。男性职工高尿酸、高血脂、脂肪肝、高血压的发病率明显高于女性,差异有统计学意义（P〈0.01）。男性高脂血症、血压升高、心电图异常、前列腺病变的检出率随年龄的增长而上升。女性年龄在50~59岁时血压升高,心电图异常明显,检出率明显上升。结论：公务员健康状况不容乐观,慢性非传染性疾病的检出率较高,应当从消除慢性病发生的危险因素入手,加强健康教育,提高保健意识,改变生活方式,建立健康档案,定期健康体检,有效控制此类疾病。

Objective： To find out the health status of some civil servants,and provide a basis for preventive health care for the civil servants. Method： 763 cases of the civil service health outcome in our hospital in 2013 were retrospectively analyzed.Result： The results showed that the health status of the civil servants were not optimistic, only 4 of the seized items were no obvious abnormalities, physical examination pass rate was 0.53%. Anomaly detection rate in the order of 10 former is hyperuricemia, dyslipidemia, hypertension, abnormal electrocardiogram, gallbladder polyps and stones, liver dysfunction, prostate disease, fatty liver, kidney cysts, and fasting hyperglycemia. Male workers high uric acid, high cholesterol, fatty liver,and hypertension were significantly higher than that of females, the differences were statistically significant（P0.01）. Men hyperlipidemia, high blood pressure, ECG abnormalities,and prostate lesion detection rate increased with age. Women aged 50-59 years old of high blood pressure and abnormal electrocardiogram significantly increased the detection rate significantly. Conclusion： The health status of civil servants is not optimistic, high detection rate of chronic non-communicable diseases, it must to do something to eliminate the risk factors of chronic diseases, strengthen health education to improve health awareness, change lifestyle, establish the medical files, examine regularly and control of these diseases effectively.