2015年 · 第09卷第05期

In order to actively respond to the great call of the Chinese government to build a "healthy China" and commemorate the 100th anniversary of the founding of the Chinese Medical Association with practical actions, the Health Management Branch of the Chinese Medical Association and the Editorial Committee of Chinese Journal of Health Management jointly issued the Declaration of Self-Health Management at the 9th China Health Service Industry Conference and the 7th Annual Conference of Health Management of the Chinese Medical Association on September 19th, 2015, advocating that all medical workers, especially health management workers and all the people, start with me, carry out self-health management and implement health actions, so as to cope with the serious threat of chronic diseases and the huge challenge of aging! The full text of the declaration is officially published in this issue.

In our country, a community usually refers to an area in the sense of administrative division. Since the national medical reform launched the basic public health service project in 2009, the concept of community in China has been more related to administrative region. However, in urban areas, the concept of functional community is more important in the prevention, control and management of hypertension. Urban functional communities are the frontier and main battlefield of comprehensive prevention and control of lifestyle diseases such as hypertension, not only because urban functional communities have obvious advantages in prevention and control of hypertension, including the use of regular health examinations, remote blood pressure monitoring and information management, group intervention methods, etc., but also the huge amount of resources that can be tapped and utilized.

Sleep apnea refers to the patient's snoring during sleep, irregular snoring, and repeated temporary breathing stop and hypoventilation. The patient consciously holds his breath, or even repeatedly wakes up, increased nocturia, headache in the morning, dizziness, and dryness of the oropharynx. Due to repeated awakening and micro-awakening at night, the normal sleep structure is destroyed, sleep efficiency is significantly reduced, sleepiness and memory decline occur during the day, and in severe cases, cognitive function declines. Repeated apnea and hypopnea at night cause chronic intermittent hypoxia, carbon dioxide retention, increased sympathetic excitability, enhanced systemic inflammatory response and oxidative stress response, and insufficient antioxidant capacity, thus causing or aggravating cardiovascular and cerebrovascular diseases and metabolic disorders, especially type 2 diabetes and insulin resistance. At present, obstructive sleep apnea (OSA) is generally believed to be a systemic disease and an important cause of sudden death and road traffic accidents. Therefore, it is a serious social problem^[1,2]。

Painless colonoscopy is a new technology developed in recent years^[1]However, the traditional written health education method makes patients lack intuitive understanding of examination, prolongs working hours and reduces nursing efficiency. Therefore, it is an important issue for clinical workers to find health education methods that can make patients understand the relevant knowledge of painless colonoscopy in a short time and eliminate patients' doubts and nervousness. Multimedia technology presented by Ipad^[2]The physical examination center of our hospital cooperated with the process and operation of painless colonoscopy into multimedia information education materials with pictures and texts, which were applied to clinical practice and achieved good results. The report is as follows.

Diabetic lower-extremity arterial disease (LEAD), as a serious chronic complication of diabetes, has high incidence, high disability, high mortality, low diagnosis, low treatment and low awareness^[1]At present, there is a lack of effective drug treatment, especially for patients with severe limb ischemia, with limited means and expensive treatment costs^[2]。 Therefore, early detection, early prevention and early intervention are of great significance. We performed 2-month intensive and 10-month follow-up health management on 78 elderly patients with type 2 diabetes mellitus complicated with LEAD, and achieved satisfactory results, which are reported below.

hyperuricemia (HUA) is a metabolic disease caused by increased or decreased excretion of serum uric acid in the body due to various reasons. In recent years, its incidence has risen linearly all over the world, and it has gradually become a worldwide public health problem that seriously affects human health. According to statistics, the prevalence of HUA in the general population in the United States and Japan is 21.4%, respectively^[1]And 25.8%^[2]While the prevalence of HUA in the Thai population is 10.6%^[3], showing regional differences. At present, there are about 120 million HUA patients in my country, accounting for more than 10% of the total population, of which about 17 million are gout patients^[4]。 In a developing country such as China, which has economic diversity and obvious regional differences, understanding the current epidemic status in each region is the basis for preventing and controlling HUA. The purpose of this study was to understand the epidemic status and risk factors of hyperuricemia in physical examination population in Changsha, and the correlation degree of hyperuricemia with some metabolic indexes, lifestyle and other indexes, so as to provide scientific basis for the prevention and treatment of hyperuricemia.

Family members of schizophrenia patients are the main life caregivers, close contacts and financial burden of patients. The psychological and living conditions of family members are easily affected by patients' treatment status, social environment, disease burden, shame, etc., which will have certain influence on the prognosis of patients, including relapse and rehabilitation^[1,2]It is a very important factor that causes the high stress state of relatives^[3]。 Strong and long-lasting stress response often makes people exhausted, and interferes with and destroys mental and physical health. The purpose of this study is to understand the status quo and influencing factors of psychological stress of family members of schizophrenia patients in community, and to call for more understanding and support from the whole society to alleviate the stress level of relatives, so that patients can recover as soon as possible and return to society, so as to provide scientific basis for reducing community insecurity factors and the consumption of medical resources and public resources.

In order to explore the effect of health management on improving the quality of life, reducing medical expenses and stabilizing family happiness of penile cancer patients, we conducted health management of penile cancer patients who attended the urology department of the First Affiliated Hospital of Zhengzhou University from June 2013 to January 2015 and underwent penis preservation or partial penis surgery, analyzed the quality of life of patients, and reported as follows.

Community general practitioner contract service is a new mode of community health management. Community general practitioners sign medical and health care service contracts with residents and families on the basis of both parties' voluntary efforts, form a group, shorten the distance between them, improve the trust of residents, establish a stable service relationship, jointly carry out family health management, and provide more human and personalized health services^[1]。 General practitioners are the backbone of primary medical units and community health service institutions, providing the most basic medical services for urban and rural residents. Focusing on the requirements of "ensuring basic, strengthening grass-roots and building mechanism" in the new medical reform of the State Council, it is the trend of medical model development at home and abroad to carry out general practitioner-style service with community health service team as the core^[2]。

Physical examination report is a document with a certain format generated according to the information (data) of physical examination items, which can reflect the health status of the subject in time, and provide an important basis for the diagnosis, prevention and treatment of related diseases. With the enhancement of health awareness, people pay more and more attention to the quality of physical examination reports, and pay attention to the accuracy and reliability of physical examination results. Therefore, high-quality physical examination reports are the concentrated expression of high-level physical examination^[1]。 The Health Examination Center of the Air Force General Hospital has set up a physical examination quality control (quality control) team since 2012, focusing on the graded summary audit and quality supervision and management of physical examination reports, and summarizing the quality control and continuous improvement workflow of physical examination reports. This paper analyzes the quality control of physical examination reports through the implementation of quality control team in the past two years and combines with 70 433 physical examination reports.

Pre-hospital emergency is a service that provides on-site medical emergency for the acute, critical and seriously injured patients, while health management is a service that improves the health status of individuals and groups. The two seem to have little correlation in business, but with the further expansion of medical field, health management has been relying on the increasing development of various medical institutions^[1]The state encourages medical institutions at all levels to carry out diversified health services. Our center uses its own unique medical resources to actively organize senior emergency doctors to be transferred to health care practitioners, and provides services such as personalized physical examination, professional health assessment, chronic disease management, health education knowledge training and first aid green channel for groups and individuals in need. Now, some experiences and experiences in the work are sorted out as follows.

Chronic inflammation is involved in the development of most diseases, and involved in inflammatory response include inflammatory cells and inflammatory mediators. The essence of inflammation is a defensive response of the body to various injuries. It occurs in tissues with blood vessels, which is beneficial to the body. Inflammatory response is a complex process, which needs precise regulation. Once the inflammatory response is severe and uncontrollable, the regulatory function of anti-inflammatory system is abnormal and the chronic inflammatory state persists, inflammation not only has no protective function, but also will cause damage to blood vessels and organs, causing harm to the body.

At present, the health industry is one of the largest and fastest growing industries in the world, and has become an important part of the national economy. Paul Pilzer, a famous American economist and economic adviser to the president of the United States, called the health industry the global "fifth wave of wealth" after the IT industry in "The Fifth Wave of Wealth". Pilzer believes that the health industry will be the industry most likely to affect the world economy after the cyber revolution^[1]。

UK health guidance recommends that people who predominate in desk work stay on their feet and walk for more than 2 h at work to reduce the health risks associated with sitting^[1]。

Based on people's self-recorded information, researchers developed a scoring system for Britons aged 40 to 70 to predict the risk of death in the next five years, and believe that the benefits will be enormous, even affecting health policy. However, some scientists question its practical value.

According to an article posted inGutAdolescent obesity can double the risk of bowel cancer in middle-aged people, according to the study.