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目的了解胜利油田中老年职工身体健康状况及疾病谱规律。方法对胜利油田45岁以上职工共计3 854人的健康体检结果进行统计,列出发病前10位疾病谱。结果体检结果阳性人数3 492人,阳性率为90.6%;患病人数2 467人,患病率64.01%。检出前10位慢性疾病分别为脂肪肝、空腹血糖增高、高血压、高脂血症、颈椎病及退变、腰椎间盘突出及退变、肝囊肿、糖尿病、肾囊肿、冠心病;脂肪肝、高血压、高脂血症、腰椎间盘退变检出率男性明显高于女性,差异有统计学意义(P<0.01);颈椎病及退变女性检出率明显高于男性,差异有统计学意义(P<0.01);空腹血糖增高、糖尿病、肝囊肿、肾囊肿、冠心病男女检出率差异不明显,差异无统计学意义(P(0.05);除腰椎间盘突出及退变和冠心病检出率有随着年龄的增加而增高的趋势外,其他疾病发病与年龄无正比关系。不同年龄组检出率比较,除肾囊肿外,其他9种疾病差异有统计学意义(P<0.05)。结论开展疾病谱调查和分析工作可以为油田职工提供科学的医疗保健,为早预防、早检查、早发现、早诊断和早治疗提供依据。
Objective To understand the health status and disease spectrum of middle-aged and elderly workers in Shengli Oilfield. Methods The health examination results of 3 854 workers aged 45 and over in Shengli Oilfield were collected and the top 10 disease spectrums were listed. Results The number of positive cases was 3 492, the positive rate was 90.6%. The number of affected persons was 2 467, the prevalence was 64.01%. The top 10 chronic diseases were fatty liver, fasting blood glucose, hypertension, hyperlipidemia, cervical spondylosis and degeneration, lumbar disc herniation and degeneration, hepatic cysts, diabetes, renal cysts and coronary heart disease. Fatty liver , The detection rate of hypertension, hyperlipidemia and lumbar disc degeneration was significantly higher in males than in females (P <0.01). The detection rate of cervical spondylosis and degenerative women was significantly higher than that of males (P <0.01). There was no significant difference in the detection rate of diabetes, hepatic cyst, renal cyst and coronary heart disease between fasting blood glucose and menopausal women, the difference was not statistically significant (P <0.05). In addition to lumbar disc herniation and degeneration and crown The detection rate of heart disease increased with age, but the incidence of other diseases was not directly proportional to age.Compared with other age groups, the detection rate of 9 other diseases was significantly different (P < 0.05) .Conclusion Carrying out disease spectrum investigation and analysis can provide scientific medical care for oilfield workers and provide basis for early prevention, early detection, early detection, early diagnosis and early treatment.