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目的调查医务人员白细胞减少症发生率和主要影响因素的发生情况及其在健康保健指导中的意义。方法对2 084例医务人员的外周血细胞、血清生化检查、甲状腺功能等结果进行分析,并采用逐步Logistic回归分析白细胞减少的主要影响因素。结果 2011年-2012年2 084例医务人员白细胞减少症患病率:男性为3.49%、2.22%,女性为4.96%、6.61%,女性高于男性(P<0.05),随年龄增大,异常率也增高。逐步Logistic回归分析结果显示,白细胞减少症与性别、年龄、高甘油三酯血症、化学消毒剂接触、X线接触、吸烟等密切相关。结论医务人员白细胞减少症发生率与性别有关,影响因素较多,特别是女性医务人员、放射人员更要重视白细胞减少症相关因素的预防,及时体检。
Objective To investigate the incidence of leukopenia and the main influential factors of medical staff and their significance in health care guidance. Methods The peripheral blood cells, serum biochemical tests and thyroid function of 2 084 medical staffs were analyzed. The main influencing factors of leukopenia were analyzed by stepwise Logistic regression. Results The prevalence rates of leukopenia in 2 084 medical staff from 2011 to 2012 were 3.49%, 2.22% for males and 4.96% for females, 6.61% for females, and higher in females than in males (P <0.05) The rate is also higher. Logistic regression analysis showed that leukopenia was closely related to gender, age, hypertriglyceridemia, chemical disinfectant exposure, X-ray exposure and smoking. Conclusions The incidence of leukopenia in medical staff is related to gender, and there are many influencing factors. Especially for female medical staff and radiologists, we should pay more attention to the prevention of leukopenia-related factors and timely medical examination.