某疗养群体患代谢性相关疾病的调查与分析-现代医学

某疗养群体患代谢性相关疾病的调查与分析

单位：1. 空军杭州特勤疗养中心疗养五区外科, 江苏无锡 214128;
2. 空军杭州特勤疗养中心疗养五区疗养一科, 江苏无锡 214128;
3. 空军杭州特勤疗养中心疗养五区心理训练科, 江苏无锡 214128;
4. 空军杭州特勤疗养中心疗养五区神经精神科, 江苏无锡 214128

关键词：疗养员代谢性相关疾病高尿酸血症患病率

分类号：R589

出版年·卷·期（页码）：2023·51·第八期（1068-1072）

摘要：

目的：分析某疗养院海勤疗养员患代谢性相关疾病的情况和特点，为制定海勤疗养健康促进计划提供参考依据。方法：收集2018年7月至2021年12月某疗养院959名海勤疗养员体检资料，分析代谢性相关疾病患病情况及特点。结果：959名海勤疗养员患代谢性相关疾病者497人，患病率51.82%，按疾病患病人数从高到低排列依次为高尿酸血症238人(24.82%)，脂肪肝138人(14.39%)，高三酰甘油血症122人(12.72%)，肝功能异常97人(10.11%)，高胆红素血症82人(8.55%)，骨量减少71人(7.40%)，高胆固醇血症53人(5.53%)，空腹血糖受损50人(5.21%)。疾病之间有叠加，其中患1种疾病的312人(32.53%)，患2种疾病的125人(13.03%)，患3种及以上疾病的60人(6.26%)；不同年份患病率排名略有不同，排名第一的都是高尿酸血症；不同年龄比较，脂肪肝、高三酰甘油血症、肝功能异常、高胆固醇血症患病率差异具有统计学意义(P<0.05)，36～40岁患病率最高；高尿酸血症、高胆红素血症、骨量减少、空腹血糖受损患病率差异无统计学意义(P>0.05)。结论：高尿酸血症、脂肪肝、高三酰甘油血症是海勤疗养员高发的代谢性相关疾病，36～40岁是高危人群，建议保健康复机构在健康促进工作中要重视代谢性相关疾病的防治，进行广泛而全面的健康教育，合理配备膳食结构，保障疗养员身体健康。

Objective: To analyze the prevalence rate and trait of metabolic related diseases in a certain military convalescent personnel, provide reference for making health promotion plan. Methods: Physical examination data of 959 members of convalescent personnel from July 2018 to December 2021 were collected to analyze the prevalence rate and trait of metabolic related diseases. Results:497 of the 959 convalescent personnel suffered from metabolic related diseases, the prevalence rate was 51.82%.Ranked in descending order by the number of disease:238 cases(24.82%) were hyperuricemia, 138 cases(14.39%) were fatty liver, 122 cases(12.72%) were hyperacylglyceremia, and 97 cases(10, 11%) were abnormal liver function, 82 cases(8.55%) were hyperbilirubinemia, 71 cases(7.40%) were decreased bone mass, 53 cases(5.53%) were hypercholesterolemia and 50 cases(5.21%) were impaired fasting glucose.Diseases are superimposed on each other, 312 cases(32.53%) had one disease, 125 cases(13.03%) had two diseases, and 60 cases(6.26%) had three or more diseases. The prevalence rate was slightly different in different years, the first place was hyperuricemia.Among different ages, the prevalence rates of fatty liver, hyperacylglyceremia, abnormal liver function and hypercholesterolemia were statistically significant(P<0.05), and the prevalence rates were highest between 36 and 40 years old. There were no significant difference in the prevalence rate of hyperuricemia, hyperbilirubinemia, decreased bone mass and impaired fasting glucose(P>0.05). Conclusion: Hyperuricemia, fatty liver and hypertriglyceridemia are still the most common metabolic diseases in the convalescent personnel. 36 to 40 years old are the high-risk group. It is suggested that convalescent and other health rehabilitation institutions should carry out extensive and comprehensive health education on the prevention and treatment of metabolic diseases, and provide rational dietary structure to ensure the health for convalescent personnel.

参考文献：

[1] 李闪悦.高尿酸血症、代谢综合征与冠心病的研究进展[J].临床医药文献电子杂志,2020,23(7)：1-3.
[2] 夏经钢.冠心病和糖尿病“共病”管理中的干预靶点—代谢性炎症的作用机制探讨[J].中国循环杂志,2021,36(1)：93-96.
[3] 张晶芳,沈晓旭,赵静,等.中国青年冠心病发病危险因素的Meta分析[J].中国循证心血管医学杂志,2022,14(5)：515-518.
[4] 陈永俊，郝应禄，李燕萍.高尿酸血症与早发冠心病的相关性研究进展[J].医学综述,2019,25(2)：322-325.
[5] 吕雪霞,胡吉东.高尿酸血症患病率调查及临床影响分析[J].临床检验杂志,2022,9(1)：34-35.
[6] 徐帅，江慧杰，赵艳斌,等.海军核潜艇官兵代谢性疾病患病情况及其影响因素调查分析[J].西南军医,2020,22(4)：377-379.
[7] 伊娜,傅晓宁,王向杰.海军潜艇官兵血脂异常情况调查[J].职业与健康,2020,36(6)：849-851.
[8] 刘大同,方敏,于跃.长远航对潜艇艇员血清25(OH)D和骨密度影响的研究进展[J].海军医学杂志,2021,42(3)：379-383.
[9] 姜晓娜,潘俊杰,于亚男,等.硫普罗宁联合谷胱甘肽治疗对非酒精性脂肪肝患者生化指标的影响[J].药学实践杂志,2021,39(5)：465-467,475.
[10] 向阳林,王敬元,龚建平.血清胆红素与非酒精性脂肪肝病的相关性研究进展[J].现代医药卫生,2020,36(4)：539-542.
[11] 赵天慧,魏强,刘茜.非酒精性脂肪肝患者的受控衰减参数与脂代谢异常及动脉粥样硬化的关系[J].东南大学学报(医学版),2020,39(6)：835-838.
[12] 田怡,周明生.血管胰岛素抵抗：一个维系心血管和代谢性疾病的潘多拉魔盒[J].沈阳医学院学报,2020,22(1)：1-6.
[13] 梁露,周燕,韦瑾,等.高尿酸血症人群高血糖发生风险列线图预测模型的构建与评价[J].现代医学,2023,51(5)：637-642.
[14] 汤雨潇,沈嘉敏,李红霞,等.海军部队膳食营养状况调查[J].海军军医大学学报,2022,43(12)：1459-1465.
[15] 李红霞,沈嘉敏,沈志雷,等.海军潜艇某部艇员膳食营养调查与评价[J].第二军医大学学报,2020,41(5)：570-573.
[16] 张雅莉，谢亮，赵荣芳.强化膳食纤维饮食干预对肥胖合并高尿酸血症患者的影响[J].中国老年学杂志,2018,38(12)：2817-2819.
[17] 马腾,杨妮,孙志宏,等.益生菌：代谢性疾病调控新靶向[J].科学通报,2021,66(27)：3604-3616.
[18] 赵伟伟,仇顺海,张春红,等.当前中国海军营养保障模式现状及改进策略[J].中华航海医学与高气压医学杂志,2019,26(5)：492-494.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录