2016—2022年某铁路局职工代谢综合征检出率及变化趋势分析  

Analysis on the Detection Rate and Trend of Metabolic Syndrome Among Workers in a Railway Bureau From 2016 to 2022

作　　者：宫桂芳[1] 方永华 刘燕平 闫泰山[3] GONG Guifang;FANG Yonghua;LIU Yanping;YAN Taishan(Department of Quality Management,Western Branch of Qingdao Municipal Hospital,Qingdao Shandong 266005,China;Department of Medical Examination,Western Branch of Qingdao Municipal Hospital,Qingdao Shandong 266005,China;Dean’s Office,Qingdao Municipal Hospital,Qingdao Shandong 266005,China)

机构地区：[1]青岛市市立医院西院区质量管理科,山东青岛266005 [2]青岛市市立医院西院区体检科,山东青岛266005 [3]青岛市市立医院院长办公室,山东青岛266005

出　　处：《中国卫生标准管理》2023年第7期50-54,共5页China Health Standard Management

摘　　要：目的分析某铁路局职工2016年1月—2022年12月代谢综合征(mebabolic syndrome,MS)检出情况及其时间变化趋势,为该铁路局开展职工健康管理提供科学依据。方法分析某铁路局2016年1月—2022年12月职工健康体检数据,用χ^(2)检验分析性别和年龄组间MS检出率差异,用JoinPoint软件分析MS检出率及年度变化趋势。结果2016年1月—2022年12月该铁路职工MS检出率为27.7%,其中女性为9.0%,男性为30.8%,各年份男性MS检出率均高于女性,差异有统计学意义(P<0.01)。2016—2022年总体MS检出率从32.7%下降为26.1%(P<0.01)。JoinPoint回归分析发现,2016—2022年总体MS检出率呈线性下降趋势,APC为-3.90%(P>0.05),其中男性APC为-4.50%(P<0.05),女性APC为-6.50%(P>0.05)。2016—2022年该铁路体检人员MS检出率随年龄的增加,而呈现升高趋势,经χ^(2)趋势检验,各年份均差异有统计学意义(P<0.01),各年龄组MS检出率呈线性下降趋势,30~39岁组APC为-5.20%,差异有统计学意义(P<0.05)。女职工各年龄段MS检出率变化趋势不同,50岁前呈线性下降趋势,≥50岁组呈线性上升趋势;40~49岁组APC为-8.11%,差异有统计学意义(P<0.05),≥50岁组APC为1.42%,差异无统计学意义(P>0.05);男职工各年龄段MS检出率均呈下降趋势,其中30~39岁组APC为-7.40%,差异有统计学意义(P<0.05)。结论该铁路局职工MS检出率较高但呈下降趋势,说明该铁路局健康状况有所好转,建议继续加强职工的健康管理,将50岁以上女性职工作为健康教育的重点人群,进一步提高铁路职工健康水平。Objective To analyze the detection rate and temporal trend of Mebabolic Syndrome among employees of a railway bureau from January2016 to December 2022,so as to provide a scientific basis for the health management of employees in the railway bureau.Methods The health examination data of employees in a railway bureau from January 2016 to December 2022were analyzed.χ^(2) test was used to analyze the differences in MS detection rates between genders and age groups.JoinPoint software was used to analyze the MS detection rates and annual trends.Results From January 2016 to December 2022,the detection rate of MS in railway workers was 27.7%,including 9.0%in females and 30.8%in males.The detection rate of MS in males was higher than that in females in each year,and the differences were statistically significant(P<0.01).The overall MS detection rate decreased from 32.7%to 26.1%from 2016 to 2022(P<0.01).Further JoinPoint regression analysis showed that the overall MS detection rate decreased linearly from 2016 to 2022,and the APC was-3.90%(P>0.05).The APC of male was-4.50%(P<0.05),and that of female was-6.50%(P>0.05).The MS detection rate of the railwaybureau employees increased with age from 2016 to 2022,and the differences in each year were statistically significant byχ^(2) trend test(P<0.01).The MS detection rate of each age group showed a linear downward trend,and the APC of the 30-39 years old group was-5.20%,and the difference was statistically significant(P<0.05).The MS detection rate of female workers in different age groups showed a linear downward trend before 50 years old,and a linear upward trend in≥50 years old group.The APC of 40-49 years old group was-8.11%,the difference was statistically significant(P<0.05),and the APC of≥50 years old group was 1.42%,the difference was not statistically significant(P>0.05).The MS detection rate of male workers of all ages showed a downward trend,and the APC of 30-39 years old group was-7.40%,and the difference was statistically significant(P<0.05).Conclusion The dete

关 键 词：铁路职工 健康体检 代谢综合征 JoinPoint回归 年度变化百分比 变化趋势 

分 类 号：R589[医药卫生—内分泌]