某三级医院在职医务人员健康状况及脂肪肝影响因素的调查  

Investigation on Health Status and Influencing Factors of Fatty Liver of Medical Staff in a Tertiary Hospital

作　　者：李明凯 林伟生 王贷明 黄明通[4] 陈式仪[5] LI Ming-kai;LIN Wei-sheng;WANG Dai-ming;HUANG Ming-tong;CHEN Shi-yi(Department of Neurology,the First Affiliated Hospital of Shantou University Medical College,Shantou 515041,Guangdong,China;Shantou University School of Medicine,Shantou 515041,Guangdong,China;Department of Cardiology,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,Guangdong,China;Physical Examination Center,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,Guangdong,China;Department of Endocrinology,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,Guangdong,China)

机构地区：[1]汕头大学医学院第一附属医院神经内科,广东汕头515041 [2]汕头大学医学院,广东汕头515041 [3]汕头大学医学院第二附属医院心内科,广东汕头515041 [4]汕头大学医学院第二附属医院体检中心,广东汕头515041 [5]汕头大学医学院第二附属医院内分泌科,广东汕头515041

出　　处：《医学信息》2020年第18期114-117,共4页Journal of Medical Information

基　　金：广东省医学科学技术研究基金项目(编号:A2018432)。

摘　　要：目的分析某院在职医务人员的健康状况及脂肪肝相关影响因素,为医务人员健康管理及脂肪肝的防治提供参考。方法回顾性查阅某三级医院2015年1~7月参加健康体检的在职医务人员的体检资料852例,包括年龄、性别、岗位、身体质量指数(BMI)、血压、空腹血糖、谷丙转氨酶(ALT)、谷草转氨酶(AST)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、尿酸(UA)、彩超等数据。数据由双人录入,并严密的逐项校对。比较不同性别、BMI(≤24 kg/m2组、>24 kg/m2组)及岗位(临床组、非临床组)疾病检出率。结果检出率较高疾病前5位:屈光不正、乳腺和前列腺疾病、高尿酸血症、脂肪肝。临床岗位、女性人群普遍的疾病检查率发病率较低,其中高尿酸血症患者有较高的脂肪肝检出率(P<0.05)。多因素非条件Logistic回归分析显示,男性、年龄增加、AST升高、TG升高是脂肪肝的相关危险因素(OR>1.00且P<0.05),而临床岗位人员、HDL是保护因素(OR<1.00且P<0.05)。结论该院医务人员健康状况欠佳,高尿酸者或男性、高龄、AST升高、TG升高者更需重视脂肪肝的防治。Objective To analyze the health status of in-service medical staff in a hospital and related influencing factors of fatty liver,so as to provide reference for the health management of medical staff and the prevention and treatment of fatty liver.Methods Retrospectively reviewed the physical examination data of 852 active medical staff who participated in the health examination in a tertiary hospital from January to July 2015,including age,gender,position,body mass index(BMI),blood pressure,fasting blood glucose,and alanine aminotransferase(ALT),aspartate aminotransferase(AST),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C),uric acid(UA),color Doppler ultrasound,etc.The data is entered by two persons and checked closely item by item.The disease detection rates of different genders,BMI(≤24 kg/m2 group,>24 kg/m2 group)and positions(clinical group,non-clinical group)were compared.Results The top 5 diseases with high detection rate:refractive errors,breast and prostate diseases,hyperuricemia,fatty liver.The common disease detection rate in clinical posts and female population is relatively low.Among them,patients with hyperuricemia have a higher detection rate of fatty liver(P<0.05).Multivariate unconditional Logistic regression analysis showed that men,age,increased AST,and TG were related risk factors for fatty liver(OR>1.00 and P<0.05),while clinical staff and HDL were protective factors(OR<1.00 and P<0.05).Conclusion The health status of medical staff in this hospital was not good.Those with high uric acid or male,elderly,elevated AST and elevated TG should pay more attention to the prevention and treatment of fatty liver.

关 键 词：医务人员 健康状况 脂肪肝 

分 类 号：R58[医药卫生—内分泌]