作　　者： (陈华）; (马莉）; (陈苒）; (吴勇）; (成莎）;

机构地区： 解放军广州总医院健康管理体检中心,广东广州510010

出　　处： 《华南国防医学杂志》 2017年第7期458-462,共5页

摘　　要： 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 discuss the health condition and disease spectrum in some policemen and provide the basis for health management and disease intervention, Methods A total of 5456 policemen had health examinations from 2014 to 2016 as research objects, including 4295 men（78. 58%）and 1171 women（21.42%）. Ten examination projects were ret- rospectively analyzed including hyperuricemia, dyslipidemia, thyroid nodule, fatty liver, mammary gland hyperplasia, be- nign prostatic hyperplasia （BPH）, electrocardiographic abnormality, hypertension, hyperglycaemia and gallbladder pol- yps. Results ①The health examination results were normal to 78 in 5466 policemen about 1.43%. ②The abnormal de- tection rates of ten examination projects in sequence from high to low were hyperuricemia （48. 17%）, dyslipidemia （44. 46%）, thyroid nodule（43. 60%）, fatty liver（35.33%）, mammary gland hyperplasia（18. 39%）, BPH（16. 83%）, electrocardiographic abnormality（13. 72%）, hypertension（13.50%）, hyperglycaemia（ll. 69%）, and gallbladder polyps （10. 45%）. ③The top two diseases of abnormal detection rates in male police officers were hyperuricemia [54. 58% （2344/4295） ] and dyslipidemia [49. 38% （2121/4295） ]. The top two diseases of abnormal detection rates in female police officers were mammary gland hyperplasia [85.82% （1005/1171）] and thyroid nodule [73. 70% （863/l 171）].④The rate of thyroid nodule were highest about 55.17% in regimental police, constable and criminal police （P〈0. 05）. The rates of hyperuricemia, dyslipidemia, fatty liver of police officers in local police station were 54. 95% ,50. 97% ,45.01%, respec- tively, and all higher than rates of the other police classifications （P〈0.05） . @The detection rates of thyroid nodule, fatty liver, BPH, hypertension and hyperglycaemia all increased with age （P%0. 05）. Conclusion ①Health of policemen are not optimistic at the present stage. ②The top three diseases are hyperuricemia, dyslipidemia and thyroi

关 键 词： 公安干警 体检 健康状况 疾病谱