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2015—2019年某铁路局职工健康状况分析及建议
引用本文:张延玲①,马,婧①,姜田园②③,左战军①,马鸿婧①,徐 鹏①,阮,烨②③.2015—2019年某铁路局职工健康状况分析及建议[J].中国初级卫生保健,2021,35(3):6-9.
作者姓名:张延玲①    婧①  姜田园②③  左战军①  马鸿婧①  徐 鹏①    烨②③
作者单位:中国铁路兰州局集团有限公司;兰州大学公共卫生学院劳动卫生与环境卫生学研究所;兰州大学职业卫生检测评价研究中心
基金项目:中国铁路兰州局集团有限公司科技发展项目(LT-KY2020-078)。
摘    要:目的:对某铁路局在岗职工连续5年的健康体检结果进行分析,了解其健康状况,为制定职工健康管理方案和实施健康干预措施提供参考。方法:选取2015—2019年某铁路局在岗职工体检资料,通过对比分析,比较体检人群的体质指数(BMI)、血脂指标(总胆固醇、甘油三酯、低密度脂蛋白和高密度脂蛋白)、血糖及血压。结果:在2015—2019年的体检中,在岗职工体检异常检出率分别为80.92%、77.72%、74.18%、75.61%和76.45%;超重及肥胖、高血脂、高血压及高血糖检出率男性职工均高于女性,且随着年龄的增长,异常检出率呈上升趋势。不同年份职工体检异常检出率中,超重及肥胖和高血压检出率呈现上升趋势,高血脂及高血糖检出率有下降趋势且在2017年达到最低,差异有统计学意义(P<0.01)。结论:该铁路局职工健康状况不容乐观,相关部门应高度重视铁路职工健康状况,采取更积极的保健措施提高职工健康水平。

关 键 词:铁路职工  健康评估  异常检出率  健康体检

Analysis and Suggestions on the Health Status of Employees of a Railway Bureau from 2015 to 2019
Institution:(China Railway Lanzhou Group Company Limited,Lanzhou,773000,China)
Abstract:OBJECTIVE To analyze the results of physical examination of the employees in a certain railway bureau for 5 consecutive years,so as to understand the health status,and to provide references for formulating health management plan and implementing health intervention measures.METHODS Through the health records information management system of the Railway Bureau,the physical examination data of the employees from 2015 to 2019 were selected.The body mass index(BMI),blood lipid index(total cholesterol,triglyceride,low-density lipoprotein and high-density lipoprotein),blood glucose and blood pressure were summarized though contrastive analysis.RESULTS In the physical examination from 2015 to 2019,the abnormal detection rates of employees were 80.92%,77.72%,74.18%,75.61%and 76.45%,respectively;the detection rates of overweight,obesity,hyperlipidemia,hypertension and hyperglycemia in male staff were higher than the female,and the abnormal detection rate showed an upward trend with the increase of age.Among the abnormal detection rates of employees in different years,the detection rates of overweight,obesity and hypertension showed an upward trend,while the detection rates of hyperlipidemia and hyperglycemia showed a downward trend and reached the lowest level in 2017,the difference was statistically significant(P<0.01).CONCLUSLON The health status of the staff of the railway administration was not optimistic.The relevant departments should attach great importance to the health status of the railway staff and take positive measures to improve the health level of the staff.
Keywords:railway worker  health assessment  abnormal detection rate  health examination
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