摘要
目的分析和探讨安徽省某三甲医院医护人员体检结果,以期改善医护人员的整体健康水平。方法回顾性分析2017—2021年度皖南医学院第一附属医院(弋矶山医院)医护人员的体检资料,包括其一般情况、异常结果检出情况、不同年龄分层异常结果检出率、异常结果检出率年度差异性分析以及不同年龄分层的不同性别异常结果检出率年度差异性分析。结果四年内共收获该院医护人员有效体检数据12212人次。男性体检异常结果检出率从高到底依次排序为:尿酸高、甲状腺结节、^(14)C-呼气试验阳性、超重及肝脏轻度脂肪浸润。女性则为新柏式液基细胞学检测(TCT)良性反应性改变(轻度炎症)、甲状腺结节、乳腺小叶增生、宫颈糜烂、^(14)C-呼气试验阳性。其中,中老年组男性医护人员肝脏轻度脂肪浸润检出率高于青年组(P<0.001);男性医护人员2019、2020年度尿酸高检出率高于2018年度(P<0.001)。青年组女性医护人员TCT良性反应性改变(轻度炎症)、乳腺小叶增生、宫颈糜烂检出率均高于中老年组(P<0.001);且女性医护人员TCT良性反应性改变(轻度炎症)检出率在2019年度显示最高,差异具有统计学意义(P<0.001);与2017、2018年相比,女性乳腺小叶增生检出率在2019年显示最低(P<0.05)。甲状腺结节:不同性别的中老年医护人员甲状腺检出率均高于青年(P<0.001);且女性甲状腺结节检出率高于男性(P<0.001);青年组不同性别甲状腺结节检出率在不同年份差异有统计学意义(P<0.05)。^(14)C-呼气试验阳性:男性医护人员^(14)C-呼气试验阳性检出率高于女性(P<0.001);而中老年组女性医护人员^(14)C-呼气试验阳性检出率高于青年组(P<0.001);男性与女性医护人员^(14)C-呼气试验阳性检出率均在2019年显示最低,与2017年比,差异具有统计学意义(P<0.05);中老年组的不同性别^(14)C-呼气试验阳性检出率在不同年份差异有�
Objective The purpose of this study is to analyze and discuss the medical examination results of medical staff in a tertiary hospital in Anhui province and then improve the overall health level of medical staff.Methods The medical examination data of medical staff in the first affiliated hospital of Wannan Medical College(Yijishan hospital)from 2017 to 2021 were retrospectively analyzed.The data including general situation,the detection of abnormal results,the detection rate of abnormal results of different age stratification,annual variability analysis of abnormal results detection rate,and the annual variability analysis of the abnormal detection rate of gender structure by age stratification.Results Atotal of 12,212 valid medical examinations data of hospital medical staff were obtained in 4 years.The abnormal detection rate of physical examination of male staffranged from high to low was as follows:hyperuricemia,thyroid nodule,positive in ^(14)C breath test,overweight,and mild fatty infiltration of liver.Among the femalestaff,the order of abnormal findings were benign reactive changes on thinprep cytologic test(TCT)(mild inflammation),thyroid nodules,lobular hyperplasia of the breast,cervical erosions,and positive in ^(14)C breath test.The detection rate of mild fatty infiltration in the liver was higher in the middle-aged and elderly group of male medical staff than in the youth group(P<0.001).Among the male medical staff the detection rate of high uric acid in 2019 and 2020 were higher than that in 2018(P<0.001).The detection rates of TCT benign reactive changes(mild inflammation),lobular hyperplasia of the breast and cervical erosion in female medical staff in the youth group were higher than those in the middle and old age groups(P<0.001).In 2019,female medical staff had the highest detection rate of TCT benign reactive changes(mild inflammation),and the difference was statistically significant(P<0.001).Compared with 2017 and 2018,the detection rate of lobular hyperplasia in women was the lowest in 2019(P
作者
谢郁芳
张先翠
陶梦君
芮瑶瑶
刘雅思
Xie Yufang;Zhang Xiancui;Tao Mengjun;Rui Yaoyao;Liu Yasi(Postgraduate school,Wannan Medical College,Wuhu,Anhui,241000,China;Health management centre,the first affiliated hospitalof Wannan Medical College,Wuhu,Anhui,241000,China;Nursing department,the first affiliated hospitalof Wannan Medical College,Wuhu,Anhui,241000,China)
出处
《齐齐哈尔医学院学报》
2022年第19期1868-1874,共7页
Journal of Qiqihar Medical University
基金
高等学校省级质量工程项目(2019kfkc340)。
关键词
医务人员
健康体检
健康管理
Medical staff
Health physical examination
Healthy management
