透過成人健檢所新發現之健康問題

The Health Problems Detected Through Adult Health Examination

黎家銘(Chia-Ming Li) ； 楊銘欽(Ming-Chin Yang)

《台灣家庭醫學雜誌》 11卷2期 (2001/06) Pp. 91-98

https://doi.org/10.7023/TJFM.200106.0091

摘要

本研究目的在探討成人健康檢查結果與瞭解民眾是否透過成人健檢發現疾病。我們採用立意抽樣方式蒐樣610名於87年6月接受成人健檢者的檢查報告單，配合他們87年的就醫診斷碼，請醫師參考檢查報告單之中的過去病史、身體檢查結果與實驗室檢查結果內容，比較接受成人健檢前後半年的就醫疾病論斷碼，並根據學理判斷受檢民眾是否有可能因為接受成人健檢而發現新的疾病。檢查結果以血脂肪異常比率最高(41.6%)，其次分別是尿液檢查異常(25.4%)、肝功能異常(22.1%)、血糖異常(20.1%)、血液檢查異常(16.8%)、尿酸異常(16.6%)、腎功能異常(11.1%)。藉由成人健檢而新發現之疾病以皮膚病(95位)、眼睛疾病(80位)、類脂質代謝失調(47位)、肝病(35位)、四肢相關疾病(35位)、泌尿系統疾病(尿路感染以外的泌尿系統疾病)(24名)、高血壓(22位)、尿路感染(20位)、糖尿病(15位)與良性腫瘤(15位)等新發現的個案數較多。受檢民眾透過成人健檢仍可新發現疾病，也可藉以瞭解民眾之部份慢性病控制成果，因此成人健檢應具有一定的價值。

並列摘要

The purpose of the study wad to explore the results of abult health examination of National Health Insurance and to understand if disease can detected through the examinations. Six hundred and ten persons who received adult health examination in June 1998 were enrolled through purposive sampling method. Their examination reports and all the diagnostic codes when they visited doctors in 1998 were also collected from the Bureau of National Health Insurance. Three physicians reviewed past history, examination results and laboratory test results to determine if any new diseases were found through the adult health examination. The percentage of abnormal laboratory examination results included lipid (41.6%), urine (25.4%), liver function (22.1%), sugar (20.1%), blood examination (16.8%), uric acid (16.6%) and renal function (11.1%). The new findings through the examinations were more common in skin diseases (95 persons), eye disease (80 persons), lipid disorders (47persons), liver diseases (35 persons), extremity related diseases (35 persons), urinary tract diseases (24 persons), hypertension (22 persons), urinary tract infection (20 persons), diabetes mellitus (15 persons) and benign tumor (15persons). This study concludes that undetected diseases may be found through the adult health examinations. The treatment results of some chronic diseases may also be understood through adult health examination. Therefore, the adult health examination should have certain value.

並列關鍵字

preventive service ； health insurance ； adult health examination