江苏省科技期刊可视化阅读平台

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江苏科技信息 ›› 2016, Vol. 33 ›› Issue (27): 41-43.doi: 10.3969/j.issn.1004-7530.2016.27.017

• 论文 • 上一篇    下一篇

新疆吐哈油田女性员工健康状况调查研究

阳艳萍, 肖辉   

  1. 新疆医科大学公共卫生学院,新疆乌鲁木齐,830011
  • 出版日期:2016-09-25 发布日期:2016-09-25

Turpan-Hami oilfield health study of female employees

Yang Yanping, Xiao Hui   

  • Online:2016-09-25 Published:2016-09-25

摘要： 目的：总结油田女性员工多发病、常见病的疾病谱和发病原因，对女性患者提供明确的防病指南，有效预防疾病的发生。为开展以健康体检、常见病、多发病治疗为基础的女性员工健康管理工作提供依据。方法：选取2009—2013年连续5年的吐哈油田职工医院健康体检女性员工13374人进行实验室资料（生化28项、血常规和乙肝三系等），影像资料（X片、腹部B超、心电图）分析。同时利用自主研发体检软件系统设计调查问卷，统计不良生活方式（饮酒、吸烟、体重指数）情况。结果：妇科中因意外妊娠或避孕失败前来终止妊娠的病人占妇科病人中的55.8%，宫颈CIN及宫颈炎占7.7%，子宫及附件占位性疾病占12.1%，宫内膜息肉占5.2%，异常出血占4.9%；宫颈液基薄层细胞技术（TCT）检测阳性率4.6%；宫颈癌及癌前病变发病年龄多见于40—49岁年龄段，占78%；血脂异常、糖耐量异常、高尿酸血症检出率呈逐年上升趋势。其中以血脂变化最为显著；45岁以上年龄组高超重患病率明显高于45岁以下年龄组。结论：妇产科以计划生育终止妊娠病例为最多，液基薄层细胞技术（TCT）已成为筛查宫颈癌最好的方法之一；血脂异常、糖耐量异常、高尿酸血症检出率逐年上升，与不良生活习惯以及BMI指数相关。

关键词: 女性员工, 健康状况调查

Abstract: Objective:The study aims to summarize the spectrum and common disease of female employees in oilfield, to provide explicit guidelines for disease prevention to female patients, and to provide basis of the healthy management building on physical examination and treatment for common and frequently-occurring disease treatment of female patients. Method: The study selected the physical examination information of 13 374 female staff in Tuha oilfield in five-consecutive-years from 2009 to 2013 for laboratory data (28 items of biochemical tests, routine blood tests, hepatitis B three series tests ), and image data (X-ray, abdominal ultrasound, electrocardiogram ) analysis. Meanwhile, unhealthy lifestyle information (drinking, smoking, body-weight index ) is statistally analyzed by using questionnaire designed bu self-developed medical software system. Results:Accidental pregnancy and pregnancy termination due to contraception failure account for 55.8%; cervical CIN and cervical disease account for 7.7%, space-occupying diseases in uterus and accessories account for 12.1%, intrauterine membrane polyp account for 5.2%, abnormal bleeding account for 4.9%, Cervical thinprep cytologic test (TCT) detection rate account for 4.6%. Cervical cancer and precancerous disease mainly concentrate in the age between 40 to 49, account for 78% of the total number.The trands of getting dyslipidemia, abnormal glucose tolerance, high uric acid hematic disease incidence rising trend year by year. Of which blood lipid change most significantly; Superb heavy prevalence in above-45-year-age group is significantly higher than that in below-45-year-age group. Conclusion:the department of obstetrics and gynecology for family planning cases of termination of pregnancy, most liquid TCT has become one of the best method for screening cervical cancer. Dyslipidemia, abnormal glucose tolerance, high uric acid hematic disease detection rate increased year by year, and is associated with unhealthy habits and BMI.