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[某工业企业工人动态门诊观察的特点]

[Characteristics of the dynamic outpatient observation of workers at an industrial enterprise].

作者信息

Kamysheva E P, Suvorov A V, Strongin L G

出版信息

Ter Arkh. 1988;60(11):128-31.

PMID:2976990
Abstract

A computer-assisted staged system of a follow-up of factory workers with CHD and diabetes mellitus was developed. It included automated screening by questionnaire, ECG and biochemical screening, physical examination, investigation of the basic carbohydrate-lipid indices, more detailed examination in out- or inpatients settings using up-to-date diagnostic methods (bicycle ergometry, monitoring after Holter, etc.), identification of groups for a follow-up, and therapeutic and sanitary measures. A total of 27750 persons were investigated. The most important group was that including persons with risk factors: vegetovascular dystonia developing into CHD (6%) or essential hypertension (20%). Sanitary measures by unified methods caused a decrease in temporary disability with the economic effect of 197,000 rubles.

摘要

开发了一种用于冠心病和糖尿病工厂工人随访的计算机辅助分阶段系统。它包括通过问卷调查、心电图和生化筛查进行自动筛查、体格检查、基本碳水化合物-脂质指标调查、使用最新诊断方法(自行车测力计、动态心电图监测等)在门诊或住院环境中进行更详细的检查、确定随访组以及治疗和卫生措施。总共对27750人进行了调查。最重要的组是包括有危险因素的人群:发展为冠心病的植物神经血管性 dystonia(6%)或原发性高血压(20%)。采用统一方法的卫生措施使临时残疾率降低,产生了19.7万卢布的经济效益。

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