2011年 · 第05卷第05期

In the early 1990s, according to more than 10 years of MONICA data, the World Health Organization estimated that the mortality rates of coronary heart disease in China, the United States and the United Kingdom were 48, 201 and 279 per 100,000 people, respectively, showing that the incidence and mortality rate of coronary heart disease in China at that time were far lower than those in western countries; The incidence and mortality of cerebrovascular diseases in China have been among the highest in the world for many years. According to the data of MONICA study population in China from 1987 to 1993, the average prevalence rates of men and women aged 25 to 74 in China are 270/100,000 and 161/100,000 respectively. Moreover, many studies suggest that in the past 30 years, the prevalence and mortality of cardiovascular and cerebrovascular diseases in China have been on the rise^[1]。 Gu Dongfeng and others predicted that due to the aging of the population and the rising level of risk factors, if effective preventive measures are not taken, the number of cardiovascular disease events and cardiovascular deaths in China will increase by 21.3 million and 7.7 million respectively in the next 20 years^[2]。 Curbing the spread of cardiovascular and cerebrovascular diseases is a severe challenge faced by the whole society in China, and it is also the core content of health management services.

After the publication of the revised "Chinese Hypertension Prevention and Treatment Guidelines" in 2010^[1]Study seriously and have the following shallow experience. Generally, the 2010 guidelines are considered as guidelines with Chinese characteristics. 2010 Guide vs. 2005 Edition Guide^[2]In comparison, it has the following characteristics:

In the past 30 years, with the development of China's economy and the progress of science and technology, people's living and medical conditions have been greatly improved. On the whole, the people's health level has improved significantly, and the average life expectancy has increased year by year. However, studies have shown that the incidence and mortality of cardiovascular diseases (mainly coronary heart disease, stroke and peripheral vascular diseases) in China are increasing year by year, and the age of onset is advanced. This upward trend is mainly related to the following two factors: (1) the level of cardiovascular risk factors in the population increases; (2) Population aging. Cardiovascular disease has become one of the most important public health problems in China due to its high disability and mortality rate. How to deal with and curb the rising trend of cardiovascular diseases in China is a severe challenge faced by the government and every medical worker.

With the improvement of people's material and cultural level, physical examination has become the urgent demand of people's health management, and regular physical examination has become an important way to detect, diagnose and prevent diseases early. The physical examination data of a physical examination center from 2006 to 2008 were collected and analyzed, aiming at exploring the influence on the health status of urban residents in Hohhot, and providing the basis for carrying out health education and making scientific health management plan.

At present, with the popularization of health examination, the detection rate of thyroid nodules in health examination has increased obviously, and the judgment of benign and malignant nodules is particularly important. With the emergence of ultrasound elastography technology, it provides another reliable way for differentiating benign and malignant thyroid nodules.

Poor vision is also called low vision. Various refractive errors (myopia, hyperopia, astigmatism), amblyopia and other eye diseases can cause poor vision. Poor vision among adolescent students is very common and has become an important social problem. In recent years, the incidence of poor vision in China is rising year by year, and among many myopic people, primary and secondary school students account for a considerable proportion^[1]。 In order to carry out scientific health intervention and provide evidence for preventing poor vision, the changes of poor vision of 1 972 primary school freshmen who enrolled in Xicheng District in September 2004 for 6 years are analyzed as follows.

Employee health management is the process of planning, organizing, directing, coordinating and controlling employees' health needs. In other words, it is the process of comprehensively monitoring, analyzing, evaluating, providing health consultation and guidance and intervening on health risk factors, so as to achieve the purpose of employees' physical, mental and social life in a good state^[1,2]。 The direct function of employee health management is to make employees maintain good physical strength, abundant energy and balanced mentality, so that employees can enjoy their daily life, improve their quality of life, reduce medical expenditure and improve their labor productivity^[3]。 The business model and strategy of enterprise health management are mainly related to the business philosophy, health needs and resource allocation of enterprises. This paper mainly analyzes the current business model of employee health management in enterprises, and puts forward the corresponding health management strategy according to the characteristics of different groups of people in enterprises.

All along, leaders and organs at all levels of the army have paid great attention to the health management of soldiers, requiring that every soldier must have a continuous, complete and detailed health record in the whole process from the day he steps into the military barracks to his retirement from active service. Therefore, the management of military health records is an important task for military primary health institutions and system hospitals.

With the development of society and economy and the enhancement of people's awareness of health care, more and more units and individuals have regular physical examination, many hospitals have carried out physical examination business, and even professional physical examination companies have been set up^[1]。 Through visiting and experiencing more than ten physical examination units, conducting a large number of interviews with customers and experts, and combining with our own work experience, we found that compared with the increasingly developing health management concept, health physical examination has shortcomings in the setting and combination of items, personalization of results evaluation, and arrangement of physical examination procedures, which need to be improved.

Health management has been placed in an important position by more and more medical institutions. Realizing the informatization of health management can significantly improve the efficiency and quality of health management services in medical institutions^[1]To achieve the purpose of reducing costs and optimizing services. Health management information system should be built in health management practice, and every step of health management should be well reflected in the system; The system should be able to provide integrated solutions of digital health management and network services for medical institutions; The system should be able to provide a series of health management services for management objects, including health records, analysis and evaluation, promotion programs, follow-up intervention, etc.

With the continuous improvement of people's health awareness, health examination has gradually become fashionable. In the communication process between the subject and the medical examination institution, the medical examination report is the most important link.

The formation of any disease, before the organ pathology, usually organ function declines first, and when it declines to a critical point, the pathology will occur. If we can know whether the function index of each organ is within the normal range before we get sick, find those indicators that have declined, understand the impact on us in the future, and improve them through scientific methods, so as to avoid the above intestinal related diseases or more serious conditions. This is the concept of functional medicine. Because the meaning of the existence of organs is their functions, their functions sustain us as people and affect our quality of life. Therefore, while we pay attention to whether the body is ill, we should pay more attention to the organs of our body, how their functions are now and what will be in the future? Functional medicine uses various functional examinations to understand the uniqueness of an individual's constitution. Besides treating diseases, it also advocates health maintenance, and then designs a "tailor-made" treatment or health care plan based on the results.

SARS was invited to be recalled, and loyalty to the country was not for cooking;

Professor Qian Yijian, a famous expert in cardiovascular diseases and geriatrics in China, honorary president of Beijing Hospital, outstanding member of the Communist Party of China, and outstanding editor-in-chief of Chinese Medical Association series magazines, died in Beijing on July 6, 2011 at the age of 86. In the early morning of July 12th, representatives from all walks of life and editors of Chinese Medical Association series magazines went to Beijing Hospital to bid farewell to Mr. Qian. In the farewell room, wreaths sent by Chinese Medical Association, Chinese Medical Association magazines and many Chinese Medical Association series magazines were placed. On July 21st, Beijing Hospital held a grand symposium in memory of Professor Qian Yijian. Nearly 100 people, including Huang Jiefu, Vice Minister of Health, Lin Jiabin, President of Beijing Hospital, and the author attended the symposium.

At 2: 40 am on August 16th, 2011, Beijing time, Professor Huang Jianshi died of illness at Kaiser Hospital in Los Angeles, USA. When this bad news came from across the ocean, no one was willing to accept it. We spoke on the phone to confirm each other, and our voices were filled with pain, sadness, crying, and consternation. Professor Huang Jianshi's sudden departure made it difficult for everyone who knew him to accept it. When mourning him, everyone expressed their deep feelings about his death and sighed his early death.