定期体检及健康管理干预在慢性病早期诊断及预防中的意义

Significance of regular physical examination and health management intervention in early diagnosis and prevention of chronic disease

目的探讨定期体检及健康管理干预在慢性病早期诊断及预防中的意义。方法选取2016年6月至2018年5月我单位招募的600名志愿者作为研究对象,通过电脑进行随机编号,将奇数号纳入对照组,偶数号纳入研究组,各300名。对照组不做任何干预,研究组实施健康管理干预,并促使其定期体检。比较两组第1、2年的体检率、个人体检率、慢性疾病确诊率。结果研究组第1、2年的体检率均显著高于对照组,差异具有统计学意义(P<0.05)。研究组第1、2年的个人体检率均显著高于对照组,差异具有统计学意义(P<0.05);对照组第2年的个人体检率低于第1年,差异具有统计学意义(P<0.05)。研究组第1、2年的高血压、心血管疾病、糖尿病、脂肪肝、肾脏疾病、肝功能异常、胆道疾病、恶性肿瘤及其他疾病的确诊率均低于对照组,差异具有统计学意义(P<0.05)。结论定期体检及健康管理干预在慢性病早期诊断及预防中具有重要意义。

Objective To explore the significance of regular physical examination and health management intervention in early diagnosis and prevention of chronic disease. Methods A total of 600 volunteers recruited by our unit from June2016 to May 2018 were selected as the research objects. The volunteers were randomly numbered by computer. Odd numbers were included in control group and even numbers were included in study group, with 300 volunteers in each group. The control group did not do any intervention, and the study group implemented health management intervention and promoted regular physical examination. The physical examination rate, individual physical examination rate and diagnosis rate of chronic disease in the first and second years were compared between the two groups. Results The physical examination rate in the first and second years of the study group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). The individual physical examination rate in the first and second years of the study group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05);the individual physical examination rate in the second year of the control group was lower than that in the first year, and the difference was statistically significant(P <0.05). The diagnosis rates of hypertension,cardiovascular disease, diabetes mellitus, fatty liver, kidney disease, abnormal liver function, biliary tract disease,malignant tumor and other disease in the first and second years of the study group were lower than those of the control group, and the differences were statistically significant(P <0.05). Conclusion Regular physical examination and health management intervention are of great significance in early diagnosis and prevention of chronic disease.