【摘要】 目的分析鄂西北地区某综合性医院职工三次健康体检结果,了解职工高血压等慢性病的发生情况,为开展职工健康管理提供数据支持。方法收集2014年、2016年和2018年三次体检数据,重点关注高血压等慢性病,对检出率及不同性别、不同年份之间的差异进行描述和分析。结果三次体检中,高血压的检出率分别是8.60%、9.60%和10.04%,不同年份的检出率差异有统计学意义(P=0.029),男性检出率略高于女性。其他慢性病检出率前3位的是甲状腺检查结果异常、肾结石和脂肪肝,不同性别之间的检出率差异有统计学意义(P<0.05),其中女性甲状腺检查异常率高于男性,肾结石和脂肪肝则是男性高于女性。Logistic回归结果显示性别对于健康体检的结局有影响,女性风险更高(OR=2.743,95%CI:1.214～4.421)。结论该院职工健康体检异常结局以慢性病为主;继续开展职工体检工作,针对性别特征加强健康干预,可能有利于改善职工健康状况。更多还原

【Abstract】 Objective Understand the occurrence of chronic diseases such as hypertension of employees, and provide data support for the health management of employees. Methods we analyze the results of three health examinations in 2014, 2016 and 2018. We focus on hypertension and other chronic diseases; analyze the differences in detection rates between different genders and years. Results Among the three physical examinations, the detection rates of hypertension were 8.60%, 9.60% and 10.04%, respectively. The detection rates of different years were statistically significant(P=0.029). The detection rate of males was higher than that of females. The top 3 abnormal results were thyroid findings, kidney stones and fatty liver. The difference in 3 abnormal results between different genders was statistically significant(P<0.05). The abnormal rate of thyroid examination in women was higher than that in men, and the others were higher in men than in women. Logistic regression results showed that gender had an impact on the outcome of the health checkup, and women were at higher risk(OR=2.743, 95%CI: 1.214～4.421). Conclusion The abnormal rate of workers in this hospital is high, mainly chronic diseases. Continue to carry out physical examinations of workers and strengthen health interventions based on gender characteristics may be beneficial to improve the health of employees.更多还原