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目的通过对某机关公务员健康体检中胆囊结石发病率分析,了解公务员胆囊结石发病情况及探讨防治措施。方法对某机关379名21～65岁公务员进行超声、血脂化验等检查。以B超发现胆囊结石或有胆囊切除病史42例作为研究组,从B超未发现胆囊结石公务员中随机抽出42例作为对照。两组年龄、性别无显著差异。结果胆囊结石发病率为11.1%,略高于我国平均水平(8%~10%)。其中研究组合并脂肪肝、超重、高胆固醇血症的发病率分别为64.3%、26.2%、33.3%;对照组合并脂肪肝、超重、高胆固醇血症的发病率分别为23.8%、9.52%、21.4%。结论研究组合并超重、脂肪肝、高胆固醇血症发病率明显高于对照组。为减少胆囊结石发病率,应加强健康知识的宣传教育、合理膳食、科学锻炼等,从而提高公务员自我保健意识和健康水平。
Objective To analyze the incidence of gallbladder stones in civil servants’ health checkup in an organ and understand the incidence of gallbladder stones in civil servants and to explore the prevention and treatment measures. Methods 379 civil servants from 21 to 65 years old in an organ were examined by ultrasound and blood lipids. B-found gallbladder stones or cholecystectomy history of 42 cases as a research group, from B-did not find gallstone in civil servants randomly selected 42 cases as a control. Two groups of age, gender no significant difference. Results The incidence of gallstones was 11.1%, slightly higher than the average level of China (8% -10%). The incidences of fatty liver, overweight and hypercholesterolemia in the study group were 64.3%, 26.2% and 33.3%, respectively. The incidences of fatty liver, overweight and hypercholesterolemia in the control group were 23.8% and 9.52% respectively, 21.4%. Conclusions The incidence of overweight, fatty liver and hypercholesterolemia in study group is significantly higher than that in control group. In order to reduce the incidence of gallstone disease, publicity and education of health knowledge, reasonable diet and scientific exercise should be strengthened so as to raise the self-care awareness and health level of civil servants.