重庆市部分公务员三年62169例健康体检状况评估与分析

目的监测与分析近年来重庆市公务员的健康状况，为公务员健康干预策略和预防保健工作提供科学依据。方法按照每10年为一个年龄组，对2008年1月1日至2010年12月31日连续3年重庆市部分公务员健康体检所检出的各类疾病情况进行汇总统计分析，比较不同性别和年龄组之间的差异。结果参检公务员62169例中检出的前5位疾病与异常情况及其检出率分别为：本次血压高与高血压有15074例（24．25％），脂肪肝有14798例（23．80％），高甘油三酯血症有14090例（22．66％），高尿酸血症有11307例（18．19％），骨质疏松与骨量减少有9293例（14．95％）；男性公务员血压异常、脂肪肝、高甘油三酯血症、高尿酸血症、骨质疏松与骨量减少、血糖紊乱、高脂血症等明显高于女性公务员（P〈0．01）；男性公务员血压异常、骨质疏松、血糖紊乱随年龄增长逐渐增加；脂肪肝、高甘油三酯血症、高脂血症检出率最高为41～50岁组；高尿酸血症以年轻男性为多。结论血压异常、脂肪肝、高甘油三酯、高尿酸血症在重庆市公务员中发病率较高，骨质疏松与骨量减少、幽门螺杆菌感染是近年来出现的新问题，应加强公务员的健康教育及健康干预，降低以上疾病的发生率，提高公务员健康水平。

Health check-up results of 62 169 civil servants in Chongqing

Objectives To investigate current health status of civil servants from Chongqing. Methods A total of 62 169 adult civil servants who received health check-up during three consecutive years from January 1 st 2008 to December 31 st 2010 in Chongqing were assigned to five age groups to examine health conditions. Differences of parameters were compared among the groups. Results The top five commonly seen diseases or disorders were as follows： hypertension （24. 25 % , 15 074/62 169 ） , fatty liver （ 23.80%, 14 798/62 169 ）, hypertriglyceridemia （ 22. 66%, 14 090/62 169 ）, hypeluricemia （ 18.19%, 11 307/62 169 ）, and osteoporosis （ 14. 95%, 9293/62 169 ）. The incidence of abnormal blood pressure, fatty liver, hypertriglyceridemia, hyperuricemia, osteoporosis/bone loss, abnormal glucose metabolism, and hyperlipidemia of male civil servants was much higher than that of female participants （ P 〈 O. 01 ）. In men ,the incidence of abnormal blood pressure, osteoporosis ,and abnormal glucose metabolism was increased with age. Fatty liver, hypertriglyceridemia, and hyperlipidemia were most identified in the 41 -50 age group. The highest detection rate of hyperuricemia was found in young men. Conclusions The incidence rates of hypertension, fatty liver, hypertriglyceridemia, and hyperuricemia are higher in civil servants from Chongqing. Education and intervention should be strengthened to improve the health of this population.