嘉兴地区某医院医务人员健康体检常见病患病情况及影响因素分析  

Analysis on the prevalence and influencing factors of common diseases in health examination of medical staff in a Jiaxing hospital

作　　者：朱云芳[1] 金惠明[1] 吴传莉 杨雅红 ZHU Yunfang;JIN Huiming;WU Chuanli;YANG Yahong(Department of Nosocomial Infection,Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing 314001,China)

机构地区：[1]嘉兴市中医医院防保院感科,浙江嘉兴314001

出　　处：《健康研究》2020年第5期518-521,共4页Health Research

摘　　要：目的分析医务人员健康体检资料,为防治医务人员常见病提供理论。方法选取嘉兴市中医院2017年参加体检的1048名医务人员体检资料进行回顾性分析,采用关联规则网络图探讨常见病之间的关联。结果本调查医务人员2017年健康体检异常检出率为83.40%,其中甲状腺结节、心电图异常、高脂血症、高尿酸血症、脂肪肝较为高发。甲状腺结节与尿常规异常的患病率女性高于男性(均P<0.05);多数常见病随年龄增长患病率呈现上升趋势(P趋势<0.05);不同工作性质的职工患病情况存在差异,其中行政后勤人员健康问题较为高发。网络关联图显示,高脂血症分别与脂肪肝、甲状腺结节、心电图异常存在强相关,甲状腺结节与心电图异常之间存在强相关;高脂血症与高尿酸血症存在中度关联,甲状腺结节与肺部结节、脂肪肝存在中度关联。结论医务人员健康异常检出率较高,应加强健康教育和健康指导,提高医务人员的健康水平。Objective To analyze the physical examination data of medical staff and provide theory for prevention and treatment of common diseases of medical staff.Methods Retrospective study was used to analyze the physical examination data of 1048 employee in the Jiaxing Hospital of Traditional Chinese Medicine in 2017.Association rules network graph was performed to study the association of the common diseases.Results The prevalence of medical staff illness in this hospital was 83.40%in 2017,in which thyroid nodules,electrocardiogram abnormalities,hyperlipidemia,hyperuricemia,and fatty liver were more prevalent.The prevalence of thyroid nodules and abnormal urine routine were higher in women than in men(P<0.05).Furthermore,most common diseases increased with age(P<0.05).There were differences in the prevalence of diseases among the employees of different working kinds,administrative and logistics staff got a higher incidence of health problems.Network association plots showed that hyperlipidemia was strongly associated with fatty liver,thyroid nodules and electrocardiogram abnormalities.There was a strong correlation between thyroid nodules and electrocardiogram abnormalities.Hyperlipidemia and hyper uric acid were moderately correlated,and thyroid nodules were moderately correlated with lung nodules and fatty liver.Conclusions The detection rate of illness of medical staff in the hospital was high.Therefore,education and health guidance should be strengthened to improve the health condition of medical staff.

关 键 词：医务人员 健康体检 常见病 影响因素 

分 类 号：R195[医药卫生—卫生统计学]