北京市昌平区2014—2016年食品卫生、公共场所从业人员健康体检情况分析  

Analysis for 2014—2016 health examination status of food hygiene and public places in Changping district of Beijing

作　　者：郑全良[1] 李淑波[1] 刘建军[1] 庞武元[1] 张钰[1] 梁星辰 ZHENG Quanliang;LI Shubo;LIU Jianjun;PANG Wuyuan;ZHANG Yu;LIANG Xingchen(Beijing Changping Center For Dis-trict Disease Prevention And Control 102200,China)

机构地区：[1]北京市昌平区疾病预防控制中心,102200

出　　处：《现代医药卫生》2018年第13期1980-1982,共3页Journal of Modern Medicine & Health

摘　　要：目的对北京市昌平区2014—2016年食品卫生、公共场所从业人员的预防性健康体检结果进行汇总。方法将辖区2014—2016年从业人员健康体检数据从北京市公共卫生信息管理系统导出,并进行综合统计分析。结果预防性健康体检294 598例,传染病总检出242例,平均阳性检出率为0.082%。3年间传染病检出率分别为0.058%、0.048%、0.140%,各年度检出率比较,差异均有统计学意义(χ2=58.70,P<0.01)。甲型肝炎(甲肝)、戊型肝炎(戊肝)检出率呈逐年上升趋势,差异有统计学意义(甲肝:χ2=54.28,P<0.01;戊肝:χ2=44.67,P<0.01);活动性肺结核病的检出率由2014年的0.029%逐步降低至2016年的0.012%,检出率呈下降趋势,差异有统计学意义(χ2=7.36,P<0.01);各年度肠道疾病(伤寒、痢疾)、化脓性或渗出性皮肤病的检出率比较,差异均无统计学意义(P>0.05)。女性从业人员体检合格率高于男性,差异有统计学意义(χ2=135.20,P<0.01)。结论昌平区从业人员甲肝、戊肝检出率较高,活动性肺结核检测率也应引起重视;昌平区从业人员健康状况影响因素可能包括从业人员性别。对食品卫生、公共场所行业从业人员应坚持一年一次的健康体检,对检出传染病的从业人员应调离相关岗位。Objective To understand the results of preventive health examination for employees in Changping District of Beijing in 2014-2016. Methods The health physical examination data of the employees in the area was exported from the public health information management system of Beijing from 2014 to 2016, and the comprehensive statistical analysis was con-ducted. Results Preventive health physical examination 294 598 people, the total detection of infectious diseases 242 people, the average positive detection rate was 0.082%. 3 years infectious disease detection rate were 0.058%, 0.048%, 0.140%. The difference of annual detection rate was statistically significant （X^2=58.70, P〈0.01）. Hepatitis A, hepatitis E detection rates were increasing year by year, the differences were statistically significant （hepatitis A： X^2=54.28, P〈0.01; hepatitis E： X^2= 44.67, P〈0.01）. The detection tale of active puhnonary tuberculosis decreased from 0.029% in 2014 to 0.012% in 2016, and the detection rate showed a downward trend, the differenee was statistically significant （X^2=7.36, P〈0.01 ）. There were no statis-tically significant differences between the annual intestinal diseases （typhoid, dysentery）, suppurative or exudative dermatosis （P〉0.05）. Female practitioners had a higher qualification rate than men ,the difference was statistically significant （X^2=135.20, P〈0.01 ）. Conclusion In Changloing District, There is a high rate of hepatitis a and hepatitis e in the employees, and the detection rate of active tuberculosis should also be taken seriously. Factors affecting the health of employees in changping district may include the gender of practitioners. Employees in the food hygiene and public places shall maintain a yearly health examination and shall be removed from the relevant posts.

关 键 词：肝炎 甲型 肝炎 戊型 体格检查 从业人员 食品卫生 健康体检 公共场所 

分 类 号：R194.3[医药卫生—卫生事业管理]