实施健康管理对健康体检人群干预效果的观察  

The Effect Observation of Health Management Intervention on People Taking Medical Examination in a Hospital of Tianjin

作　　者：宋崑[1] 赵洪林[1] 吴荣秀[1] 焦焕利[1] 

机构地区：[1]天津医科大学总医院健康管理中心,300052

出　　处：《中国慢性病预防与控制》2011年第3期244-245,共2页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的探讨健康管理对健康体检人群的干预效果。方法对2008年加入天津医科大学总医院健康管理中心健康管理的65个单位中的2 555名员工进行全面体格检查,根据体检结果,对患各种疾病的人群进行有针对性的临床治疗,并对参加体检的全人群(2 555人)进行健康教育,生活行为、膳食营养干预。干预1年后复检,通过对相关检查结果进行干预效果评估。结果 2008年主要疾病检出率依次为脂肪肝(35.8%)、高脂血症(27.5%)、高血压(22.3%)、高尿酸血症(9.4%)、糖尿病及空腹血糖受损(IFG)或糖耐量受损(IGT)(5.0%);采取干预措施1年后,该人群高脂血症(18.3%)、高血压(12.2%)、高尿酸血症(4.7%)检出率较干预前下降,差异有统计学意义(P<0.01);而脂肪肝(33.4%)、糖尿病及IFG或IGT(3.9%)检出率差异无统计学意义。结论健康干预在接受健康管理人群中具有良好的健康促进作用。Objective To understand the effect of health management intervention on people taking medical examination in a hospital of Tianjin. Methods According to the check-up results of the target population in 2008, some prevention measures and adjuvant methods, such as the health education, behavior intervention, nutrition direction, etc., along with medication and clinic treatment were supplied to 2 555 people. After one year of intervention, the effect of intervention was observed and analyzed. Results Before intervention in 2008, the detection rates of fatty liver was 35.8%, hyperlipemia 27.5%, hyperpiesia 22.3%, Hyperurieemia 9.4%, Diabetes and impaired glucose tolerance 5.0%; After one year intervention with heahh management, detection rates of hyperlipemia was 18.3%, hyperpiesia 12.2%, hyperuricemia 4.7%, which were lower than those in 2008 obviously （all P〈0.01）, while the other rates of fatty liver （33.4%）, diabetes and impaired glucose tolerance（ 3.9% ）had no significant difference than those in 2008 （P〉O.05）. Health interfering is the effective methods to promote people＇s health. Conclusion Health management has good effect on improving health for people taking medical examination and health management.

关 键 词：干预性研究 健康管理 健康体检 

分 类 号：R181.3[医药卫生—流行病学]