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医养体检包的核心内容:不同人群的 “专属清单”

来源:http://www.yixiangyiliao.com/ 发布时间:日期:2025-04-08 1

医养体检包的设计讲究 “因人而异”,主要分为以下几类:

The design of medical and elderly care examination kits emphasizes "individual differences" and is mainly divided into the following categories:

1. 基础通用型:适合健康人群的常规筛查

1. Basic universal type: suitable for routine screening of healthy individuals

基础检查:身高体重、血压、血常规(看红细胞、白细胞等是否正常)、尿常规(排查肾脏和泌尿系统问题)、肝功能(检测肝脏代谢功能)、肾功能(查看肌酐、尿素氮等指标)、空腹血糖(评估血糖水平)。

Basic examination: height and weight, blood pressure, blood routine (check whether red blood cells, white blood cells, etc. are normal), urine routine (check for kidney and urinary system problems), liver function (test liver metabolic function), kidney function (check indicators such as creatinine and urea nitrogen), fasting blood glucose (evaluate blood glucose levels).

基础影像学:胸部 X 光片(检查肺部和心脏轮廓)、腹部超声(查看肝、胆、胰、脾、肾是否有占位或结石)。

Basic imaging: chest X-ray (to examine the contours of the lungs and heart), abdominal ultrasound (to check for masses or stones in the liver, gallbladder, pancreas, spleen, and kidneys).

养护建议:根据检查结果,给出饮食、运动的基础指导,比如 “血脂偏高,建议减少油炸食品,每周三次快走”。

Maintenance advice: Based on the examination results, provide basic guidance on diet and exercise, such as "If blood lipids are high, it is recommended to reduce fried foods and walk fast three times a week".

2. 中老年专属型:聚焦慢性病与机能衰退

2. Middle aged and elderly exclusive type: focusing on chronic diseases and functional decline

重点筛查:

Key screening:

心脑血管:心电图(检测心脏电活动)、心脏彩超(评估心脏结构和功能)、动脉硬化检测(看血管弹性)、同型半胱氨酸(与心脑血管疾病风险相关)。

Cardiovascular and cerebrovascular diseases: electrocardiogram (detecting cardiac electrical activity), cardiac ultrasound (evaluating cardiac structure and function), arteriosclerosis testing (examining vascular elasticity), homocysteine (associated with cardiovascular and cerebrovascular disease risk).

代谢疾病:餐后 2 小时血糖(排查糖尿病)、糖化血红蛋白(反映近 3 个月血糖控制情况)、尿酸(预防痛风)。

Metabolic diseases: blood sugar 2 hours after meal (check diabetes), glycosylated hemoglobin (reflect blood sugar control in recent 3 months), uric acid (prevent gout).

肿瘤筛查:肿瘤标志物(如 CEA、AFP 等,需结合临床判断)、胃肠镜(建议 45 岁以上常规检查,发现早期消化道病变)。

Tumor screening: tumor markers (such as CEA, AFP, etc., which need to be combined with clinical judgment), gastroscopy (recommended for routine examination for those over 45 years old to detect early gastrointestinal lesions).

一体机1

机能评估:骨密度检测(女性更年期后、男性 60 岁以上重点查)、肺功能检测(长期吸烟者或有呼吸系统疾病史者必查)、认知功能测试(简易智力问卷,排查早期阿尔茨海默病)。

Functional assessment: Bone density testing (key for women after menopause and men over 60 years old), lung function testing (mandatory for long-term smokers or those with a history of respiratory diseases), cognitive function testing (simple intelligence questionnaire to screen for early Alzheimer's disease).

养护方案:针对高血压、糖尿病等慢性病,提供用药指导、饮食清单(如 “高血压患者每日盐摄入不超过 5 克”)、家庭血压监测方法;针对关节退化,推荐适合的理疗方式和护具使用。

Maintenance plan: for chronic diseases such as hypertension and diabetes, provide medication guidance, diet list (such as "the daily salt intake of hypertension patients does not exceed 5g"), and family blood pressure monitoring methods; Recommend suitable physical therapy methods and protective equipment for joint degeneration.

3. 职场人群型:应对压力与不良习惯

3. Workplace demographic: Coping with stress and bad habits

久坐危害筛查:颈椎 / 腰椎 MRI(检查椎间盘突出、椎管狭窄)、甲状腺超声(长期压力可能导致甲状腺结节)、幽门螺杆菌检测(常在外就餐易感染,与胃炎、胃溃疡相关)。

Sedentary hazard screening: cervical/lumbar MRI (examination for disc herniation and spinal stenosis), thyroid ultrasound (long-term pressure may lead to thyroid nodules), Helicobacter pylori testing (often prone to infection when dining out, associated with gastritis and gastric ulcers).

代谢与免疫:血脂四项(高甘油三酯常见于应酬多、运动少的人群)、免疫功能检测(淋巴细胞亚群分析,评估免疫力)。

Metabolism and immunity: four aspects of blood lipids (high triglycerides are common in people who socialize more and exercise less), immune function testing (lymphocyte subset analysis to evaluate immunity).

健康干预:针对熬夜、饮食不规律,给出 “23 点前入睡”“每周 2 次瑜伽放松” 等具体建议;针对用眼过度,推荐叶黄素补充和眼保健操频率。

Health intervention: Provide specific suggestions such as "falling asleep before 23:00" and "relaxing with yoga twice a week" for staying up late and irregular eating habits; For excessive eye use, it is recommended to supplement with lutein and increase the frequency of eye exercises.

4. 女性专属型:关注生殖与内分泌

4. Female Exclusive Type: Focus on Reproduction and Endocrinology

妇科专项:妇科检查(白带常规、宫颈涂片 / TCT)、HPV 分型检测(排查宫颈癌高危型别)、乳腺超声 / 钼靶(40 岁以上建议钼靶,年轻女性首选超声)、卵巢超声(查看囊肿或肌瘤)。

Gynecological specialties: gynecological examination (routine vaginal discharge, cervical smear/TCT), HPV typing test (to identify high-risk types of cervical cancer), breast ultrasound/mammography (mammography is recommended for women over 40 years old, and ultrasound is preferred for young women), ovarian ultrasound (to check cysts or fibroids).

内分泌调节:性激素六项(月经不调、备孕女性必查)、AMH(抗缪勒氏管激素,评估卵巢储备功能)。

Endocrine regulation: six types of sex hormones (menstrual disorders, must check for pregnant women), AMH (anti Mullerian hormone, evaluate ovarian reserve function).

养护重点:针对乳腺增生,指导自查方法和复查周期;针对更年期症状,提供激素替代治疗的咨询建议和中医调理方案。

Maintenance focus: For breast hyperplasia, guide self-examination methods and follow-up cycles; Provide consultation and advice on hormone replacement therapy and traditional Chinese medicine conditioning plans for menopausal symptoms.

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