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目的分析某地公安干警群体健康状况及疾病谱,为健康管理提供依据。方法以2014~2016年度5466例公安干警体检者为研究对象,其中男性4295人(78.58%),女性1171人(21.42%);以高尿酸血症、血脂异常、甲状腺结节、脂肪肝、乳腺增生、前列腺增生、心电图异常、高血压、高血糖、胆囊息肉10项检查项目为内容进行回顾性分析。结果①5466例体检者,结果正常者78人,占全部体检者的1.43%。②10项检查项目异常检出率由高至低依次为:高尿酸血症(48.17%)、血脂异常(44.46%)、甲状腺结节(43.60%)、脂肪肝(35.33%)、乳腺增生(18.39%)、前列腺增生(16.83%)、心电图异常(13.72%)、高血压(13.50%)、高血糖(11.69%)、胆囊息肉(10.45%)。③男性公安干警异常检出率居于前两位的疾病为高尿酸血症54.58%(2344/4295)和血脂异常49.38%(2121/4295);女性公安干警异常检出率居于前两位的疾病为乳腺增生85.82%(1005/1171)和甲状腺结节73.70%(863/1171)。④特警/巡警/刑警的甲状腺结节检出率为55.17%,与其他警种体检者比较,差异具有统计学意义(P<0.05);派出所公安干警高尿酸血症检出率(54.95%)、血脂异常检出率(50.97%)、脂肪肝检出率(45.01%)均显著高于其他警种,与其他警种体检者比较,差异具有统计学意义(P<0.05)。⑤甲状腺结节、脂肪肝、前列腺增生、高血压和高血糖检出率均随年龄的增长而显著增加(P<0.05)。结论①现阶段公安干警群体的健康状况不容乐观;②现阶段公安干警群体疾病谱前三位为高尿酸血症、血脂异常、甲状腺结节;③现阶段公安干警群体疾病谱呈现性别差异、警种差异、受教育程度差异;④甲状腺结节、脂肪肝、前列腺增生、高血压和高血糖检出率与年龄呈同趋相关。
Objective To analyze the health status and disease spectrum of police officers and police officers in a certain place and provide the basis for health management. Methods A total of 5466 public security police officers from 2014 to 2016 were enrolled. Among them, 4295 (78.58%) were male and 1171 (21.42%) were female. Hyperuricemia, dyslipidemia, thyroid nodules, fatty liver, breast Hyperplasia, benign prostatic hyperplasia, electrocardiogram abnormalities, hypertension, hyperglycemia, gallbladder polyps 10 items for the content of the retrospective analysis. Results ①5466 cases of subjects, the result of normal 78 people, accounting for 1.43% of all the subjects. (2) Hyperuricemia (48.17%), dyslipidemia (44.46%), thyroid nodules (43.60%), fatty liver (35.33%), breast hyperplasia (18.39) (16.83%), abnormal electrocardiogram (13.72%), hypertension (13.50%), hyperglycemia (11.69%) and gallbladder polyps (10.45%). ③ male police officers and police anomaly detection rate among the first two diseases were hyperuricemia 54.58% (2344/4295) and dyslipidemia 49.38% (2121/4295); female police officers and police anomaly detection rate among the top two diseases 85.82% (1005/1171) of breast hyperplasia and 73.70% (863/1171) of thyroid nodules. (4) The detection rate of thyroid nodules was 55.17% in SWAT / Patrol / Interpol, compared with other police subjects (P <0.05); The detection rate of hyperuricemia in police policemen was 54.95% (50.97%) and detection rate of fatty liver (45.01%) were significantly higher than those of other police species. ⑤ thyroid nodules, fatty liver, benign prostatic hyperplasia, high blood pressure and high blood sugar detection rates were significantly increased with age (P <0.05). Conclusions ①The state of health of police officers and men at the current stage is not optimistic; ②The top three diseases of police officers and men at the current stage are hyperuricemia, dyslipidemia and thyroid nodules; ③The current police officers and police groups show sex difference Differences in education, educational level; ④ thyroid nodules, fatty liver, benign prostatic hyperplasia, hypertension and high blood sugar detection rate showed the same trend with age.