2010年 · 第04卷第03期

WHO data show that around 2.3 billion adults worldwide will be overweight and more than 700 million will be obese by 2015^[1]。 Not only the developed countries such as the United States and Canada are facing the problem of obesity, but also developing countries such as China are facing this social problem. Even more people die of obesity-related diseases in Canada each year than traffic accidents, suicides, homicides and HIV combined^[2]。 In recent years, the lifestyle of Chinese residents has changed tremendously, and the obesity rate of the population has also increased rapidly. In 2002, the sum of the overweight rate and obesity rate of Chinese residents was 23.2%, which was close to 1/4 of the total population. The overweight rate and obesity rate of 60-year-old urban population reached 37.2% and 16.0%^[3]The 2005 China Chronic Disease Report showed that nearly 300 million people were overweight and obese^[4]。

Obesity, especially centripetal obesity, can lead to a variety of diseases and pose a serious threat to human health. Excessive accumulation of fat in the body causes more than 20% of the normal body weight is called obesity. The body mass index is generally used to determine the degree of obesity. Chinese body mass index between 18.5 and 23.9 is normal, between 24.0 and 27.9 is overweight, and greater than or equal to 28 is obese. Obesity is preventable and treatable, so it must be attached great importance to prevent and control the occurrence and development of the disease.

"Weight management" refers to interventions such as nutritional guidance and adjustment, lifestyle interventions, necessary medications and even surgery to bring an individual's weight as close as possible to the "ideal weight" (or standard weight) from a health perspective^[1]。 Therefore, weight management should include two aspects: weight gain in underweight people, and weight loss in overweight and obese people. Our country is undergoing a "nutritional transition", that is, dietary and lifestyle changes accompanied by socio-economic and demographic age-structure transitions^[2]。 At this stage, malnutrition, unreasonable diet structure and overnutrition coexist, and insufficient physical activity is increasingly common. At the same time, some people still need to engage in high-intensity physical labor. Because of these factors, as well as the lack of nutrition knowledge, the influence of traditional culture and popular culture, the weight of Chinese people presents a very obvious contradictory distribution: the proportion of overweight and obese people is increasing rapidly, but underweight is still a serious health problem^[3]。

Because the traditional single-discipline treatment mode has been difficult to meet the needs of some disease treatment, and with the progress of medical science, the division of labor in various disciplines has been gradually refined, and the degree of specialization has become increasingly prominent, it is necessary to adopt a multi-disciplinary comprehensive treatment mode to provide a comprehensive diagnosis and treatment plan for some diseases.

With the continuous development and progress of society, people's living standards are gradually improving, and the lifestyle has also undergone earth-shaking changes, resulting in a sharp increase in overweight and obese people. The harm caused by weight gain to the health and psychology of this group exceeds people's imagination, and it has become a social problem of general concern. Weight management was upgraded to a social topic.

There are 30 million diabetic patients in my country, of which 95% are type 2 diabetes. According to literature reports, the risk of cardiovascular and cerebrovascular diseases in diabetic patients is 4 times higher than that of non-diabetic patients. Diabetes has posed a serious threat to human life and health^[1]。 A large number of studies have proved that reasonable treatment of diabetic patients can reduce complications and mortality, and improve the quality of life of patients. This study aims to summarize the experience of community management of diabetes mellitus and expand new ideas of community management of diabetes mellitus in order to observe the changes of clinical indexes in community health service centers.

A healthy human body consists of limbs and a plurality of cavities to form an open thermal energy relative balance body. It is composed of the surface temperature of the human body constituted by the physiological metabolic thermal energy activity of the skin structural layer and the internal (nuclear) temperature of the human body constituted by the physiological metabolic thermal energy activity of the deep tissue below the skin structural layer^[1]。 The temperature distribution of healthy human body has certain stability and symmetry. When human tissues and organs have diseases or function changes, it is manifested as local body surface temperature increases or decreases^[2]。 Through infrared imaging and computer technology, the evaluation and diagnosis of human function or pathological state can be realized by analyzing the calorific value, heat state and depth of heat source of deep tissues and organs corresponding to the thermal field on human body surface.

Due to the increasing abundance of material life in modern society, people's lifestyle has also changed greatly. Overweight and obesity are gradually becoming popular and have been listed by the World Health Organization as one of the top ten risk factors for disease burden. This study investigated the epidemic characteristics of overweight and obesity and their relationship with blood pressure, blood glucose and blood lipid levels in the physical examination population, and provided the basis for the prevention and treatment of obesity and health guidance.

In recent years, with the change of people's lifestyle, the incidence of metabolic syndrome (MS) has increased rapidly, which has become a public health problem that seriously threatens human health. Therefore, our center carried out strict lifestyle intervention for 6 months on 306 high-risk people with metabolic syndrome screened out, and achieved good results.

At present, the prevalence of hypertension in China is on the rise, and it is one of the most important causes of death in China^[1,2]People have still failed to contain this preventable and dangerous "epidemic". Implement effective health management for a group with good compliance^[3]Can have a higher and deeper binding force on hypertensive patients, so as to truly realize the prevention and treatment of cardiovascular disease people mainly focusing on controlling hypertension.

Metabolic syndrome (MS) refers to the accumulation of a group of diseases accompanied by insulin resistance, manifested as obesity, hypertension, dyslipidemia, hyperglycemia, and insulin resistance. The incidence of MS in China is 29%. Each of its risk factors can cause vascular endothelial dysfunction, promote and accelerate atherosclerosis, and lead to target organ damage^[1,2]。

Overweight and obesity are common among young and middle-aged people, and they are the main risk factors of type 2 diabetes mellitus (2TDM). In 2003, the American Diabetes Association (ADA) reduced the diagnostic criteria for impaired fasting blood glucose (IFG) from the lower limit of fasting blood glucose (FPG) of 6.1 mmol/L to 5.6 mmol/L to improve the predictive power of 2TDM^[1]。 The data of this group analyzed the correlation between 3766 adults with different ages and different body weights and blood glucose levels, which are reported as follows.

Colorectal cancer is one of the most common malignant tumors in developed countries. Its incidence ranks third in the spectrum of malignant tumors and its mortality ranks second in the United States^[1]。 In Asia, the morbidity and mortality of colorectal cancer have increased by 2~4 times in the past decade, and this upward trend has continued unabated. In China, colorectal cancer has ranked 3rd ~5th among malignant tumors, and the mortality rate ranks 2nd ~4th^[2]。 In recent years, it has been found that obesity is closely related to tumor occurrence, and the risk of tumor occurrence in obese people is significantly higher than that in normal people. This article makes a review report on the relationship between obesity and colorectal tumors, in order to provide relevant evidence for the clinical prevention and treatment of colorectal tumors.

There are differences in concept and connotation between food intolerance and food allergy in traditional sense. It is estimated that up to 45% of the population may have varying degrees of intolerance to certain foods; The ratio of babies to children may also be higher. However, most people are confused by not knowing which foods they are intolerant to. Studies have proved that the use of ELISA method can detect food-specific immunoglobulin G (IgG) antibody levels. By detecting each individual's food sensitivity, it can provide patients with accurate and reliable diet elimination and treatment basis.

Health management is an emerging discipline that focuses on prevention and combines prevention and treatment^[1,2]。 It originates from and depends on the development of modern medical science and technology, but is different from traditional preventive medicine and clinical medicine. The main content of its research is human health and health maintenance and promotion. Health examination is the foundation, risk intervention is the key, management (individual, social) is the focus, health promotion and improvement is the goal^[3]So as to obtain the maximum health benefits with the smallest investment, it is a model of providing comprehensive medical and health services^[4]。

With the progress of society and the change of people's health concept, the health consumption market is constantly expanding, and the health examination center comes into being. Physical examination centers of comprehensive hospitals have gradually occupied most of the market of health examination with absolute advantages, and physical examination centers have become an important window for external services of hospitals. The degree of satisfaction of physical examination customers with the services of the physical examination center greatly affects the satisfaction evaluation of enjoying the medical care services of the hospital in the future, as well as the overall recognition of the hospital. Therefore, it is an important indicator of the quality of nursing work in the physical examination center to have a professional nursing staff. The vocational skills training of nurses in physical examination center is also being continuously explored. Now, the experience of vocational skills training of nurses in physical examination center of our hospital is introduced as follows.

With the improvement of people's living standards, the lifestyle has undergone fundamental changes, especially the senior management of enterprises. Because of the work pressure, irregular eating habits and unhealthy lifestyle, their health has been seriously threatened. This study investigated the service items, service contents and service methods of 40 enterprise executives who received health management services in this physical examination center by self-established questionnaire, so as to provide a basis for further improving this service mode. Health management services are conducted through the collection of personal health information, health risk assessment, health intervention^[1]To achieve.

Health management refers to the whole process of monitoring, analyzing and evaluating the health of individuals or groups, providing health consultation and guidance, and intervening on health risk factors^[1]。 Its purpose is to mobilize the enthusiasm of individuals and groups and even the whole society, and effectively use limited resources to achieve maximum health effects. That is, the cycle of examination and monitoring of health risk factors (finding health problems) → evaluation (recognizing health problems) → intervention (solving health problems) continuously runs, in which intervention is the core. During the Wenchuan earthquake, how to do good health management in the special period of earthquake damage is a topic worth exploring and studying.

The classic medical work of the ancient Chinese sages, the Yellow Emperor Neijing, pointed out: "If a sage does not cure the disease, it will cure the disease before it is sick, and if he does not cure it, it will cure the disease without chaos. This is also called. The husband's disease is cured after it is completed, for example, it is too late to go through a well when you are thirsty, and to cast a cone when you bucket it."^[1]。 In 1996, the World Health Organization (WHO) solemnly declared in a report entitled "Meeting the Challenges of the 21st Century" that medicine in the 21st century should not continue to focus on disease as the main research field, but human health as the main research direction.