2014—2019年邯郸市机关、企事业单位人员代谢综合征患病情况及相关指标的动态分析  

Dynamic analysis of the prevalence of metabolic syndrome and related indexes among the staff of government agencies,enterprises and institutions in Handan City from 2014-2019

作　　者：张新国[1] 李霞[2] 康美玉[1] 韩永霞[1] 李军华[2] 田丰 ZHANG Xin-guo;LI Xia;KANG Mei-yu;HAN Yong-xia;LI Jun-hua;TIAN Feng(Public Health Research Center of School of Medicine,Hebei University of Engineering,Handan Hebei,056038,China;Department of Health Examination,Central Hospital of Handan,Handan Hebei,130403,China)

机构地区：[1]河北工程大学医学院公共卫生研究中心,河北邯郸056038 [2]邯郸市中心医院健康体检科,河北邯郸056038

出　　处：《职业与健康》2021年第21期2942-2946,共5页Occupation and Health

基　　金：河北省社会科学发展研究课题(20200302063);河北省高等学校人文社会科学研究项目(SQ201023);2021年河北省创新能力提升计划项目(215576135D)。

摘　　要：目的了解并分析2014—2019年邯郸市机关、企事业单位人员代谢综合征患病情况及相关指标的动态变化。方法采用整群抽样法,以2014—2019年机关、企事业单位人员为分析对象,收集其在邯郸市某三级甲等(三甲)医院连续6年的健康检查资料,并对数据进行分析。结果共调查183 272人,超重与肥胖率为60.05%、收缩压偏高率为24.76%、舒张压偏高率为15.99%、血糖偏高率为14.59%、三酰甘油(triglycerides,TG)偏高率为33.45%、总胆固醇(total cholesterol,TC)偏高率为18.32%、尿酸偏高率为11.72%,男性均高于女性,差异均有统计学意义(χ^(2)=15 501.333、5 754.974、7 278.625、3 745.471、9 659.072、9.977、14 740.497,均P<0.01)。随时间延长,超重、收缩压偏高、血糖偏高、TG偏高均呈现下降趋势,舒张压偏高、TC偏高、尿酸偏高均呈升高趋势(均P<0.01)。结论 2014—2019年邯郸市机关、企事业单位人员代谢综合征患病情况不容乐观,应加强对机关、企事业单位等办公室工作人员,特别是静坐工作方式的高危人群的健康教育和指导,以提高该人群的生存与生活质量。Objective To understand and analyze the prevalence of metabolic syndrome and dynamic changes of related indexes among the staff of government agencies,enterprises and institutions in Handan City from 2014-2019. Methods The cluster sampling method was adopted to select the staff of government agencies,enterprises and institutions in Handan City,and the data of their health examinations in a grade-A tertiary hospital in Handan City for six consecutive years were collected and analyzed.Results A total of 183 272 people were surveyed. The overweight and obesity rate was 60.05%,the high systolic pressure rate was24.76%,the high diastolic pressure rate was 15.99%,the high blood glucose rate was 14.59%,the high triglyceride(TG) rate was33.45%,the high cholesterol(TC) rate was 18.32%,the high uric acid rate was 11.72%,males were all higher than females,and the differences were all statistically significant (χ^(2)=15 501.333, 5 754.974,7 278.625,3 745.471,9 659.072,9.977,14 740.497,all P <0.01). With the progress of time,overweight,high systolic blood pressure,high blood sugar,and high TG all showed a downward trend,while high diastolicbloodpressure,high TC and high uric acid showed an upward trend(all P<0.01). Conclusion The prevalence of metabolic syndrome in staff of government agencies,enterprises and institutions in Handan City from 2014-2019 is not optimistic. It is necessary to strengthen health education and guidance for office workers in government agencies,enterprises and institutions,especially high-risk groups of sit-in working methods,so as to improve the survival and quality of life of this population.

关 键 词：患病情况 动态分析 代谢综合征 

分 类 号：R181.38[医药卫生—流行病学]