| 刘丽,郭燕丽.重庆市某三甲医院医技人员健康现状调查与分析[J].安徽医药,2020,24(6):1215-1220. |
| 重庆市某三甲医院医技人员健康现状调查与分析 |
| Health condition of medical technicians in a three?level hospital in Chongqing |
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| DOI：10.3969/j.issn.1009?6469.2020.06.040 |
| 中文关键词: 医务人员，医院 体格检查 健康状况指标 健康调查 健康教育 |
| 英文关键词: Medical staff,hospital Physical examination Health status indicators Health investigation Health education |
| 基金项目: |
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| 中文摘要: |
| 目的对医院医技科室人员的健康现状进行调查和分析，为针对性的干预措施提供依据。方法选择 2018年 1月和 2019年 1月接受陆军军医大学第一附属医院体检的超声科、病理科、放射科、检验科工作人员为研究对象，对其异常指标进行分析和比较。结果 2018年或 2019年 4个科室中任一科室发生率＞ 10%的异常指标有高尿酸血症、高三酰甘油血症、高胆固醇血症、高低密度脂蛋白胆固醇血症、脂肪肝、血糖正常高值、促甲状腺素( TSH)偏高、宫颈囊肿和乳腺增生。 2019年高胆固醇血症和高低密度脂蛋白胆固醇血症的发生率分别为 9.33%(39/418)、 22.01%(92/418)，明显高于 2018年［ 3.23%(10/310)、 2.90%(9/310)］(χ2＝10.565、54.380，P＜0.01)。 4个科室男性人员发生率明显高于女性的异常指标有高尿酸血症、高三酰甘油血症、高低密度脂蛋白胆固醇血症、脂肪肝和血糖正常高值( χ2＝56.963、59.257、26.169、13.509、9.014、7.643、33.667、11.422，P＜0.01)。各年龄段发生率差异有统计学意义的指标有高胆固醇血症、高低密度脂蛋白胆固醇血症、宫颈囊肿和乳腺增生( χ2＝ 18.685、14.215、9.521、31.032、49.726、10.787，P＜0.01)，高胆固醇血症在 50岁以上医技人员中发生率较高，高低密度脂蛋白胆固醇血症在＞ 30～40岁医技人员中发生率较高，宫颈囊肿、乳腺增生随着年龄的增加发生率增加。相较于病理科和放射科，超声科和检验科医务人员上述异常指标发生率较低。放射科医务人员高尿酸血症、高三酰甘油血症、血糖正常高值、 TSH偏高的发生率高于其他医技科室，病理科医务人员高低密度脂蛋白胆固醇血症的发生率最高，检验科女性医务人员宫颈囊肿发生率高于其他医技科室。 2018年， 4个科室间发生率差异有统计学意义的异常指标有脂肪肝、 TSH偏高、宫颈囊肿( χ2＝9.886、 9.163、15.947，P＜0.05)。 2019年，超声科、病理科、放射科、检验科工作人员血糖正常高值的发生率分别为 8.86%(7/79)、14.88%(18/121)、 22.40%(28/125)、 8.60%(8/93)，宫颈囊肿的发生率分别为 2.53%(2/79)、 15.70%(19/121)、 15.20%(19/125)、 23.66%(22/93)，差异有统计学意义( χ2＝10.881、18.256，P＜0.05)。结论相较于超声科和检验科，医院病理科和放射科医技人员的健康状况不容乐观，迫切需要加强其健康教育和行为干预。 |
| 英文摘要: |
| Objective To investigate and analyze the health condition of medical technicians in hospital，so as to provide evidence for targeted intervention.Methods The medical technicians from Departments of Ultrasonography，Pathology，Radiology，and Clini? cal Laboratory of The First Affiliated Hospital of Army Medical University，who received physical examination in January 2018 and January 2019，were included in the study，and their abnormal health indexes were analyzed and compared.Results The abnormal indexes with incidence rate above 10% in any of the four departments in 2018 or 2019 were hyperuricemia，hypertriglyceridemia， hypercholesterolemia，high and low density lipoprotein cholesterol，fatty liver，normal high blood glucose level，high thyroid stimulat? ing hormone(TSH)，naboth cyst，and gland hyperplasia.The incidence rates of hypercholesterolemia and high and low density lipo?protein cholesterolin 2019 were 9.33%(39/418)and 22.01%(92/418)，respectively，which were significantly higher than those in 2018［3.23%(10/310)，2.90%(9/310)］( χ2＝10.565，54.380，P＜0.01).The abnormal indexes with higher incidence rates in men than those in women were hyperuricemia，hypertriglyceridemia，high and low density lipoprotein cholesterol，fatty liver，and normal high blood glucose level(χ2＝56.963，59.257，26.169，13.509，9.014，7.643，33.667，11.422，P＜0.01).There were significant differ? ences in the incidence rates of hypercholesterolemia，high and low density lipoprotein cholesterol，naboth cyst，and gland hyperpla? sia among medical technicians of different ages(χ2＝18.685，14.215，9.521，31.032，49.726，10.787，P＜0.01).The incidence rate of hypercholesterolemia was higher in medical technicians with age above 50 years.The incidence rate of high and low density lipo?protein cholesterol was higher in medical technicians with age above 30 till 40.The incidence rates of naboth cyst and gland hyper?plasia were increased with age.The incidence rates of of the above?mentioned abnormal indexes were lower in medical techniciansin Departments of Ultrasonography and Clinical Laboratory than in Departments of Pathology and Radiology.The incidence rates ofhyperuricemia，hypertriglyceridemia，normal high blood glucose level，and high TSH were higher in medical technicians in Depart?ment of Radiology than in other departments.The incidence rate of high and low density lipoprotein cholesterol was the highest inmedical technicians in Department of Pathology.The incidence rate of naboth cyst was higher in medical technicians in Departmentof Clinical Laboratory than in other departments.There was significant difference in the incidence rates of fatty liver，high TSH，and naboth cyst among the four departments in 2018(χ2＝9.886，9.163，15.947，P＜0.05).The incidence rates of normal high blood glu?cose level and naboth cyst of the medical technicians in Department of Ultrasonography，Pathology，Radiology，and Clinical Labora? tory in 2019 were significantly different［8.86%(7/79)，14.88%(18/121)，22.40%(28/125)，8.60%(8/93)； the incidence rates of naboth cyst were 2.53%(2/79)，15.70%(19/121)，15.20%(19/125)，23.66%(22/93)，respectively；the difference was statistically significant(χ2＝10.881，18.256，P＜0.05］.Conclusion The health status of medical technicians in Department of Pathology andRadiologyis not optimistic when compared with those in Department of Ultrasonography and Clinical Laboratory，and it is absolutely necessary to strength their health education and behavior intervention. |
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