成都某体检中心高海拔地区成年男性健康体检结果分析

Analysis of health check-up results for male adults from high altitude areas at a health check-up center in chengdu

目的:分析成都某体检中心高海拔地区成年男性健康体检结果。方法:以2014至2019年度在四川省人民医院健康管理中心北区高海拔地区男性体检数据为依据,对1333例参加体检的18~80岁的高海拔地区男性的体检结果按照不同年龄段分析,并以平原地区的男性作为对照,不同年龄组一般资料比较采用ANOVA分析,两组检查指标对比采用独立样本t检验及Mann-Whitney U检验,对各年龄组体检异常检出之间的比较采用χ^(2)检验。结果:该人群普遍存在超重及肥胖,与对照组比较,收缩压[(125.29±14.97)比(123.52±14.87)mmHg(1 mmHg=0.133 kPa)]、身高[(168.64±6.26)比(169.31±6.26)cm]、体重[(79.47±13.69)比(71.02±10.62)kg]、体质指数[(27.91±4.45)比(24.75±3.24)kg/m^(2)]、血红蛋白[(169.03±15.18)比(157.50±11.52)]g/L、尿酸[(393.12±75.48)比(410.42±82.14)μmol/L]、三酰甘油[1.18(0.90,1.69)比1.64(1.12,2.37)mmol/L]、总胆固醇[4.58(4.02,5.15)比4.82(4.33,5.36)mmol/L]、高密度脂蛋白胆固醇[1.28(1.14,1.46)比1.26(1.08,1.46)mmol/L]、低密度脂蛋白胆固醇[2.91(2.41,3.42)比3.03(2.49,3.60)mmol/L]等水平差异均有统计学意义(均P<0.05)。体检异常检出依次为脂肪肝、高脂血症、肝功能异常、高尿酸血症、血糖升高、血压升高、胆囊疾病、肾功能异常、前列腺增生、红细胞增多症。不同年龄组间比较,以上体检异常检出率差异均有统计学意义。结论:高海拔地区成年男性体检人群的健康状况不佳,需进一步关注并根据情况进行健康干预。

Objective To analyze the health screening results for adult men from high altitude areas in a Chengdu health screening center at high altitudes.Methods The medical and physical examination results of 1333 plateau people in Sichuan province people′s hospital health physical examination data management center who participated from^(2)014—2019 and aged 18-80 years old were analyzed.The general data of different age groups were compared using ANOVA analysis.The two groups were compared by independent sample t-test and Mann-Whitney U test,andχ^(2) test was used to compare physical examination abnormalities among different age groups.Results This population was generally overweight and obese,compared to the control group,with systolic blood pressure[(125.29±14.97)vs(123.52±14.87)mmHg(1 mmHg=0.133 kPa),height(168.64±6.26)vs(169.31±6.26)cm,weight(79.47±13.69)vs(71.02±10.62)kg,body mass index(27.91±4.45)vs(24.75±3.24)kg/m²,haemoglobin(169.03±15.18)vs(157.50±11.52)g/L,uric acid(393.12±75.48)vs(410.42±82.14)μmol/L,triacylglycerols 1.18(0.90,1.69)vs 1.64(1.12,2.37)mmol/L,total cholesterol 4.58(4.02,5.15)vs 4.82(4.33,5.36)mmol/L,HDL cholesterol 1.28(1.14,1.46)vs 1.26(1.08,1.46)mmol/L,LDL cholesterol 2.91(2.41,3.42)vs 3.03(2.49,3.60)mmol/L]levels were statistically significant(all P<0.05).The physical examination abnormalities detected were fatty liver,hyperlipidemia,abnormal liver function,hyperuricemia,elevated blood glucose,elevated blood pressure,gallbladder disease,abnormal kidney function,prostate hyperplasia,and erythrocytosis.The differences in the detection rates of the above abnormalities were statistically significant when compared between different age groups.Conclusion The health status of the adult population from high altitude areas screened in our center is critical;therefore,appropriate health interventions need to be made.