三级甲等儿童专科医院职工体检重要异常结果分析  

Analysis of important abnormal physical examination results for employees of third class a children’s specialized hospital

作　　者：帅可鑫[1] 邓蓓蓓 李香莲[1] 曾习文[1] 黎赟[1] 王欢 傅睿[1] SHUAI Kexin;DENG Beibei;LI Xianglian;ZENG Xiwen;LI Yun;WANG Huan;FU Rui(Jiangxi Provincial Children’s Hospital,Nanchang 330038,China)

机构地区：[1]江西省儿童医院,江西南昌330038

出　　处：《现代医院》2023年第12期1905-1907,1911,共4页Modern Hospitals

基　　金：江西省卫生健康委科技计划项目(202211192)。

摘　　要：目的对医院职工近2年体检重要异常结果进行分析,为医院职工健康管理提供依据。方法回顾性分析近2年医院职工体检资料,并对重要异常结果进行统计分析。结果共有3584例次职工参加体检,男性753例,女性2831例,其中重要异常结果共92例,其总发现率为2.57%;男性(17例,2.26%)重要异常结果发现率稍低于女性(75例,2.65%),女性年龄[(48.89±19.53)岁]低于男性[(55.68±17.43)岁]。重要异常结果检出率年龄以50~59岁年龄段开始显著增加,为3.07%。重要异常结果检出疾病依次为:甲状腺肿瘤26例、肺部肿瘤19例、乳腺肿瘤13例、占位12例(肝3例、肾4例、肾上腺2例、附件1例、胰腺1例、纵膈1例)、血管病变9例、肿瘤标志物异常6例、宫颈病变5例、结核病1例、硬膜下血肿1例;其中女性以甲状腺肿瘤、乳腺肿瘤及肺部肿瘤、宫颈病变等为主,男性以血管病变、肺部肿瘤、占位病变(肝肾)及甲状腺肿瘤等为主。结论健康体检在发现重要异常疾病上有重要意义,应高度重视健康体检,尽早发现重大疾病,并有针对性地加强职工健康管理。Objective To analyze the important abnormal results of physical examination of the staff in our hospital in recent 2 years,and to provide evidence for the health management of the staff in our hospital.Methods The physical examination data of hospital staff in recent 2 years were retrospectively analyzed,and the important abnormal results were statistically analyzed.Results A total of 3584 employees participated in physical examination,including 753 males and 2831 females.There were 92 cases with significant abnormal results,and the total detection rate was 2.57%.The detection rate of significant abnormal results was slightly lower in males(17cases,2.26%)than in females(75cases,2.65%),and the age of females[(48.89±19.53)years]was lower than that of males[(55.68±17.43)years].The age group with the most significant detection rate of important abnormal results was 50-59 years old(3.07%),and the diseases detected by important abnormal results were as follows:There were 26 thyroid tumors,19 lung tumors,13 breast tumors,12 space occupying cases(3 liver,4 kidney,2 adrenal glands,1 adnexa,1 pancreas,1 mediastinum),9 vascular lesions,6 abnormal tumor markers,5 cervical lesions,1 tuberculosis,and 1 subdural hematoma.Among them,thyroid tumors,breast tumors,lung tumors and cervical lesions were the main cases in women,and vascular diseases,lung tumors,space-occupying lesions(liver and kidney)and thyroid tumors were the main cases in men.Conclusion Physical examination is of great significance in detecting important abnormal diseases.We should attach great importance to physical examination,detect serious diseases as early as possible,and strengthen health management accordingly.

关 键 词：三级甲等 儿童专科医院 职工体检 重要异常结果 分析 

分 类 号：R194.3[医药卫生—卫生事业管理]