某部队干部体检异常结果分析

摘要

Objective To make clear the main physical examination abnormalities and age distribution characteristics of cadres aged over 35 years old in the recent 4 years, in order to provide evidence for prevention and health care of this group, by analyzing the physical examination data of cadres aged over 35 years old in a troop.Methods The physical examination data of the cadres aged over 35 from 2012 to 2015 were collected.According to the positive rate of physical examination in 2015 ranking from high to low, the top 10 physical examination abnormalities were listed.The abnormal results of test analysis and the positive rate of cadres aged over 35 in the 4 years were analyzed by χ2 test.The age distribution of the first 10 major abnormalities in male subjects was analyzed by age stratification.Results The top 5 positive rates of abnormal results of physical examination in male subjects in 2015 ranking from high to low were as follows: aortic sclerosis(64.89%), thyroid nodule(50.64%), overweight(30.89%), fatty liver(29.30%) , and high triglyceride(23.57%);positive rates of aortic sclerosis and thyroid nodules between 2012 and 2015 showed an increasing tendency.The top 5 positive rates of abnormal examination results among the female subjects were as follows: thyroid nodules(57.45%), aortic sclerosis(48.94%), high serum total cholesterol(30.85%), low density lipoprotein(25.53%), and hepatic cyst(25%).The positive rate of organ abnormalities(aortic sclerosis, thyroid nodules, liver cysts) increased with age in male subjects in 2015;the positive rate of metabolic abnormalities(overweight, fatty liver, high triglyceride) decreased with age.Conclusion The positive rate of organic abnormalities, such as thyroid nodule and aortic sclerosis, is relatively high among cadres aged over 35, and the risk increased with age.The positive rate of metabolic abnormalities, such as hyperlipidemia and fatty liver, was relatively high.Secondary abnormalities are the focus of chronic disease prevention.%目的 通过分析某部35岁以上干部体检资料,了解35岁以上干部近4年主要体检异常及其年龄分布特征,为该人群的预防保健工作提供依据. 方法 收集某部2012-2015年35岁以上干部体检资料,按照2015年体检阳性率由高到低列出前10位体检异常,采用χ2检验分析异常结果及在35岁以上干部人群中4年间的阳性率差异,通过年龄分层分析男性受检者前10位重要体检异常的年龄分布特征. 结果 2015年男性受检者体检异常阳性率由高到低分别为:主动脉硬化(64.89%)、甲状腺结节(50.64%)、超重(30.89%)、脂肪肝(29.30%)、甘油三酯高(23.57%)等;2012-2015年间主动脉硬化与甲状腺结节阳性率呈上升趋势.女性受检者体检异常阳性率由高到低分别为:甲状腺结节(57.45%)、主动脉硬化(48.94%)、血清总胆固醇高(30.85%)、低密度脂蛋白高(25.53%)、肝囊肿(25.00%)等.2015年男性受检者中器官性异常(主动脉硬化、甲状腺结节、肝囊肿)的阳性率随着年龄增长而升高;代谢性异常(超重、脂肪肝、甘油三酯高)的阳性率随着年龄增长而降低.结论 某部35岁以上干部中甲状腺结节、主动脉硬化等器官性异常阳性率居高,其罹患的风险随年龄增长而增高;高血脂及脂肪肝等代谢性异常阳性率较高,次二类异常为慢性病预防的重点.