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[目的]了解铁路职工“三高”患病状况,为卫生行政部门制定职工健康管理方法及采取早期防控措施提供依据。[方法]对2006~2007年济南铁路局铁路在职职工健康体检中相关资料进行分析。[结果]检查50 039人,血脂异常率为31.70%,糖尿病患病率为10.15%,高血压患病率为13.89%。“三高”检出率男性均高于女性(P<0.01);泰安、临沂、济南、兖州4地区的差异有统计学意义(P<0.01);<35岁、35~39岁、40~44岁、45~49岁、>50岁均随着年龄的增长而升高(P<0.01);均为管理人员高于有固定工作场所的和无固定工作场所的一线职工(P<0.01)。[结论]济南铁路职工“三高”检出率较高,存在地区、年龄、性别和工作类型的差异。
[Objective] To understand the prevalence of “Three Highs” of railway workers and provide the basis for health administrative departments to formulate employee health management methods and take early prevention and control measures. [Methods] The relevant data of health examination of railway employees in Jinan Railway Bureau from 2006 to 2007 were analyzed. [Results] 50 039 people were examined, the rate of dyslipidemia was 31.70%, the prevalence of diabetes was 10.15% and the prevalence of hypertension was 13.89%. The detection rate of “three highs” was higher in males than in females (P <0.01). There was significant difference between Tai’an, Linyi, Jinan and Yanzhou 4 (P <0.01) 40-44 years old, 45-49 years old, and> 50 years old all increased with age (P <0.01), which were all higher than the first-line workers with fixed work place and no fixed work place (P < 0.01). [Conclusion] The detection rate of workers in Jinan railway is higher than those in “Three highs”, and there are differences in areas, ages, genders and types of work.