贵阳市乌当区食品药品生产销售及公共场所服务从业人员健康检查结果分析  

Analysis on the results of health inspection of food and drug production and sales and public service personnel in Wudang District,Guiyang City

作　　者：吴爱民 钱继宇 文嫦 WU Ai-min;QIAN Ji-yu;WEN Chang(Physical Examination Center,Wudang District People's Hospital,Wudang550018,P.R.China)

机构地区：[1]贵阳市乌当区人民医院体检中心,贵州乌当550018

出　　处：《社区医学杂志》2020年第3期159-162,共4页Journal Of Community Medicine

摘　　要：目的慢性非传染性疾病已成为影响我国公众健康的主要问题。本研究分析食品药品生产销售及公共场所服务从业人员预防性健康检查结果,为慢性非传染性疾病防控提供参考。方法收集2018-04-01-2019-03-31贵阳市乌当区食品药品生产销售及公共场所服务从业人员26929名的预防性健康检查资料,对检查结果阳性者按目标疾病与其他主要病症进行分析,并对此病症的知晓情况、防治知识要点及预后认识进行问卷调查。结果26929名体检人员中,共检出活动性肺结核3例,甲癣2例,红绿色盲1例,不合格率为0.0223%。472例同时检出体质量超标/肥胖、高脂血症及脂肪肝声像。33例肝功能异常者检出高脂血症和(或)体质量超重,但肝胆超声未提示脂肪肝声像、乙型肝炎病毒血清学检测均正常、无服药及过量饮酒史,列为肝功能检查的异常结果不明原因。7例甲型肝炎病毒IgM抗体(hepatitis A virus immunoglobulin M antibody,HAV IgM)阳性者上级专科医院进口试剂ELISA法复查抗HAV IgM均阴性,排除甲肝病毒感染。检出其他病症10种,前3位主要病症依次为非酒精性脂肪性肝病(non-alcoholic fatty liver discase,NAFLD)、肝功能检查异常结果不明原因及陈旧性肺结核。肝功能检查异常结果不明原因检出率为0.12%,仅次于NAFLD,与目标疾病相比较,差异有统计学意义,P<0.01。对肺结核和手足癣等目标疾病,相应病症检出人员知晓率为100%;NAFLD认知度方面,其肝癌不良预后、全身性特征和生活方式干预可一定程度逆转病情等知晓率分别占4.03%、33.05%和41.53%。结论从业人员预防性健康检查除固有的功能外,可以肝功能异常为线索,在NAFLD及其相关慢性非传染性疾病的控防方面发挥积极作用。OBJECTIVE Chronic non-communicable diseases have become a major problem affecting public health in our country.This study analyzes the results of preventive health checkups in food and drug production and sales and public service practitioners,and provides a reference for the prevention and control of chronic non-communicable diseases.METHODS Preventive health check data were collected from food and drug production and sales and public service personnel in Wudang District,Guiyang City from April 1,2018 to March 31,2019,and analyzing the target diseases and other major diseases for those with positive test results.Questionnaires were conducted on the knowledge of the disease,the key points of prevention and treatment,and the prognosis.RESULTS In the 929 physical examination population,3 cases of active pulmonary tuberculosis,2 cases of hyperthyroidism,and 1 case of red-green blindness were detected.The unqualified rate was 0.0223%.472 cases were simultaneously detected with overweight/obesity,hyperlipidemia,and fatty liver.33 patients with abnormal liver function were found to have hyperlipidemia and/or overweight,but hepatobiliary B ultrasound did not suggest fatty liver imaging,hepatitis B virus serological tests were normal,no medication and excessive drinking history,listed as abnormal results of the liver function check.Seven patients with anti-HAV IgM-positive superior hospitals were tested for ELISA,and all anti-HAV IgM were negative,and hepatitis A virus infection was excluded.Ten other diseases were detected.The top three main diseases were NAFLD,abnormal liver function test results,and old tuberculosis.Abnormal results of liver function tests were found to be 0.12%,which was second only to NAFLD.The difference was statistically significant compared with the target disease,P<0.01.For target diseases such as tuberculosis,hand,foot and sputum,the awareness rate of the corresponding disease detection personnel is 100%.In terms of NAFLD recognition,the poor prognosis,systemic characteristics and lifestyle int

关 键 词：预防性健康检查 非酒精性脂肪性肝病 慢性非传染性疾病 贵阳市 

分 类 号：R194.3[医药卫生—卫生事业管理]