Objective To survey and analyze cardiovascular risk factors in medical staff, and get a comprehensive understand on distribution of these factors to finally achieve targeted prevention. Methods By using cluster sampling method, all on-post staff (n=1600, male 560, female 1040, aged from 23 to 60 and average age=44.5±8.7) received physical examination and with complete data including doctors (n=532), nurses (n=780), medical technicians (n=190) and administrative staff (n=98) were chosen from the People's Hospital of Yixing City of Jiangsu Province in 2016. The staff was divided, according to age, into age<50 group (n=1179) and age≥50 group (n=421), and divided, according to sex, into male group (n=560) and female group (n=1040). The questionnaire was a self-designed one combined with relevant literature, and assisted by medical staff in the Physical Examination Center of the People's Hospital of Yixing City to accomplish by using multi-choice method and direct questioning method. The data of physical examination was collected from all participants including height, weight, blood pressure (BP), blood sugar and blood fat. Results Among 1600 participants, there were 987 (61.7%) cases with high pressure, 984 (61.5%) without enough exercises, 289 (18.1%) with abnormal glucose metabolism, 480 (30.0%) with obesity, 321 (20.1%) with hypertension, 387 (24.2%) with dyslipidemia, 246 (15.4%) with smoking, and 154 (9.6%) with cardiovascular disease history. The percentages of cases with hypertension, dyslipidemia and cardiovascular disease history were higher in age≥50 group than those in age<50 group, and percentages of cases with obesity, abnormal glucose metabolism and high pressure were lower in age≥50 group than those in age<50 group (all P<0.05). The percentages of cases with smoking and high pressure were higher, and percentage of cases without enough exercises was lower in male group than those in female group (all P<0.05). Conclusion Medical staff should pay more attention to their health, alleviate job stress, abandon smoking, and have more sports and timely check-up to reduce the incidence of cardiovascular diseases.%目的 对江西某地区医务人员心血管疾病的危险因素进行调查分析,全面了解该群体的心血管疾病危险因素分布情况,实现针对性预防.方法 采用整群抽样方法,选取江苏省宜兴市人民医院2016年体检且资料完整的所有在岗职工1600例(医生532例,护士780例,医技人员190例,行政人员98例)作为研究对象,男性560例,女性1040例,年龄23~60岁,平均年龄(44.5±8.7)岁.依据年龄分为:<50岁组(1179例)及≥50岁组(421例).依据性别分为:男性(560例)及女性(1040例).结合文献,自行设计此次调查问卷,由宜兴市人民医院体检中心医务人员辅助完成,采用多项选择法和直接询问法.收集参检人员的体检数据,包括:身高、体重、血压、血糖、血脂等.结果 参检人员1600例,按危险因素占比由高至低依次为:压力大987例(61.7%)、缺乏运动984例(61.5%)、糖代谢异常289例(18.1%)、肥胖480例(30.0%)、高血压321例(20.1%)、血脂异常387例(24.2%)、吸烟246例(15.4%)、心血管病史154例(9.6%).≥50岁的医务人员高血压、血脂异常、心血管病史的比例高于<50岁医务人员,而肥胖、糖代谢异常以及压力大的比例则低于<50岁医务人员,差异有统计学意义(P均<0.05).男性医务人员吸烟以及压力大的比例高于女性,缺乏运动比例低于女性,差异有统计学意义(P均<0.05).结论 医务人员应加强自身健康管理,缓解工作压力,戒烟,加强运动,按时体检,降低心血管疾病发生率.
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