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䒸鎊INTRODUCTION շ⨴䐀⚥㕂 錞ⴢ紴銳ո䲿ⴀ⨴䐀僽⤛鵳➃涸Ⰼ꬗〄㾝涸䗳搬銳宠僽絑崸爢⠔〄㾝涸㛇炄勵⟝կ㹊梡㕂字⨴䐀Ɤ㼑僽㕂㹻㺢䔂ծ字偛䮷Ⱓ涸ꅾ銳叻䘋կ 鵛䎃勻ꥥ满䊨⚌⻊ծ㙹ꞏ⻊ծ➃〡罈륁⻊ծ氬氻靶」⻊ծ欰䙖梠㞯⿺欰崞倰䒭」⻊䧮㕂㾀字涸⨴䐀꡼곿ㄤ氬氻餏䬐馊〄⚚䃔Ⱖ⚥䢨䚍ꬋ⠛厩䚍氬氻䊺䧭⚹㾀字涸⚺銳娥❖⾲㔔ㄤ氬氻餏䬐կ㼆姼䩧鸣⨴䐀⚥㕂䊺䧭⚹䧮㕂佟䏎涸ꅾ銳䧶殜կ 䎃㖈痦⼧㔋㾉Ⰼ㕂➃字➿邍㣐⠔痦✳妃⠔雳佟䏎䊨⡲䫣デ⚥䲿ⴀ㸤㊤氬氻곫꣈䱽ⵖ⡤禹կ帿Ⰶ䒓㾝⨴䐀⚥㕂遤⸓ㄤ昶㕂⽡欰鵘⸓瘰暖➃字纈⠍⨴䐀꣈絁կ 䎃剢⨴䐀⚥㕂遤⸓䲀鵳㨼プ⽪〄շ⨴䐀⚥㕂遤⸓䎃䊨⡲銳挿ոկշ䊨⡲銳挿ո銳宠䭯絯䲀⸓㹊倶ぐ고遤⸓Ⰼ倰⡙ծⰌワ劍⥂ꥻ➃字⨴䐀կշ䊨⡲銳挿ո䭷ⴀ㗏䭯Ⱒ〡⵸獴帿Ⰶ䲀鵳㹊倶Ⰼ字⨴䐀欰崞倰䒭遤⸓⸈䔂넞過⾓ծ祪㽶氻瘝䢨䚍氻䝖罏⨴䐀盗椚䲀鵳⼕꣈輑ざ䲿⼮剪⸉餘ꆀ⸈䘯䲀⸓猰䪮⴯倝Ղ浓氿ծ䗱腰過盗ծㄎエㄤ➿靧䚍氬氻꣈屛灇瑕ꅾ㣐고湡涸㹊倶˘˘ 㙹䋑⡲⚹➃碫俒僈涸㗂叻僽➃字⨴䐀ㄤ繠㥩欰崞涸ꅾ銳鲿⡤կ歋✵「ⵌ♶ず껏굹絕匬ծ荈搬梠㞯ծ欰崞倰䒭瘝㔔稇涸䕧ㆇ⚥㕂氬氻ⴔ䋒㖑⼓㶸㖈僈儑䊵䒗⚥㕂㙹䋑⛲㖈꬗⚰满㖑倰氻ꦼ곿⿺鳅⚹瑲ⴀ涸㖑㚖䚍⨴䐀ꥧ䝖կ㔔姼䱍䳣㙹䋑➃〡⨴䐀㣐侨䰘⚹䧮㕂〄㾝⽡欰⨴䐀✲⚌礵ⲥⱿ瘻ㄤ㸤㊤湱Ⱒ佟瘻岁䖒⡤禹䲿⣘猰㷖佅䭯僽匬䒊⨴䐀⚥㕂涸㛇炄䊨⡲ㄤ剣⸂䫋䩛կ ⚹刿幡兠㖑✫鍒䧮㕂㙹䋑➃〡涸⨴䐀朐ⲃㄤ〄㾝馋⸷欽䭷叻ㄤ侨䰘ⴔ區ⴀ䕧ㆇ⚥㕂㙹䋑➃纈⨴䐀涸ꅾ銳㔔稇昶䐀꧋㔙荈䎃䒓㨤ꛏ㼆偫♴⡤唬⚥䗱⿬⸈⡤唬涸㙹䋑➃纈⨴䐀꡼곿䒓㾝騈驶灇瑕䎇〄䋒շ㙹䋑➃纈⨴䐀䫣デո禹⴩⟄劍⽰傞ծⲥ烁㖑⿿僥ぐ⚡㙹䋑ⰻ➃纈涸⨴䐀朐ⲃ⚹䧮㕂佟䏎涸Ɀ瘻♸㖑倰㹊騨䲿⣘⿬罌կず傞䲿ꄀⰖ⠍Ⱒ岤荈魧⨴䐀꡼곿⿺氬氻곫꣈䱽ⵖ涸ꅾ挿㛆Ⱞ䎇吆用荈䊹僽⨴䐀痦♧餓⟣➃涸椚䙁䲿넞⨴䐀盗椚涸腊⸂⿺⚺⸓䚍կ շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸灇瑕㼆韌⚹䎃剢傈荛䎃剢傈劍ꢂ㖈昶䐀꧋㔙偫♴⻌❩涸⡤唬⚥䗱⿬⸈⡤唬涸➃纈կ䫣デ涸〄䋒傋㖈鸑鵂⡤唬㣐侨䰘ㄎが字⠍Ⱒ岤荈魧⨴䐀㖈⥂䭯葻㥩欰崞⛴䟗涸㛇炄♳䲿⼮㼆✵♧䎃♧妃涸⨴䐀⡤唬涸ꅾ錠玐䏞կ 湡䔶CONTENTS շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸ꅾ銳絕雿06 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸侨䰘勻彂ծ湡叻➃纈ㄤ絡雦ⴔ區絶䏞08 1.1շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸侨䰘勻彂ㄤ湡叻➃纈1.2շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸絡雦ⴔ區絶䏞1.3շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸⡤唬䒗䌢絕卓唬叅고湡霹僈 11շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⻌❩䋑⡤唬➃纈涸匬䧭䞔ⲃ 2.1⻌❩䋑⡤唬➃纈涸䚍ⵆ䎃륁匬䧭嫱 13շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⚥ꥥ霄ⵌ ➃烁霏浓氿浓氿唬ⴀ桧荛㼱⚹˚ HEALTH REPORT OF MEDICAL EXAMINATION POPULATION |3.1ꥥ霄ⵌ烁霏浓氿涸⻌❩䋑⡤唬➃纈浓氿猫碫ⴔ䋒3.2ꥥ霄ⵌ烁霏浓氿涸⻌❩䋑⡤唬➃纈涸䚍ⵆ䎃륁ⴔ䋒3.3鸑鵂脽鿈$5唬叅ծ脽鿈9㼘絁唬叅ծ胅泿叻䘋暟唬崵ㄤ馄㡮唬叅〄梡⢾肽浓3.4鸑鵂歌朐艑馄㡮唬叅ծ歌朐艑㢪猰唬叅〄梡⢾歌朐艑浓3.5鸑鵂聽馄㡮唬叅ծ胅泿叻䘋暟唬崵ㄤ脽鿈$5唬叅〄梡⢾聽浓3.6鸑鵂✌艑馄㡮唬叅ծ㥎䚍㢪猰唬叅ծ胅泿叻䘋暟唬崵ծ脽鿈$5唬叅ㄤ✌艑꜃ꬶ唬叅〄梡⢾✌艑浓3.7鸑鵂➃✌㣢泿氻嫫唬崵)17ծ㹡곯膴衅絈脅唬叅㹡곯5$5ծ㹡곯ⵉ晙ㄤ馄㡮唬叅〄梡⢾㹡곯浓ծ㹡곯⾲⡙浓3.8鸑鵂胅泿叻䘋暟唬崵ծ⵸⴩艑馄㡮唬叅ㄤ煂Ⱏ䮷唬叅〄梡⢾⵸⴩艑浓3.9鸑鵂馄㡮唬叅ㄤ脽鿈$5唬叅〄梡⢾胄浓 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⻌❩䋑⡤唬➃纈涸⨴䐀朐ⲃ38 4.1⻌❩䋑⡤唬➃纈⡤唬䒗䌢絕卓霹僈ծ䚍ⵆⴔ䋒ㄤ䎃륁ⴔ䋒4.2䎃荛䎃昶䐀꧋㔙⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デ⡤唬䒗䌢絕卓嫱㼆 44շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⻌❩䋑⡤唬➃纈⡤唬䒗䌢絕卓涸ⴔ碫絡雦ⴔ區 5.1㿨㿨⻌❩䋑歑䚍⡤唬➃纈넞過⾓唬ⴀ桧鴪ⵌ5.2⻌❩䋑⡤唬〄梡넞過⾓➃纈⚥)㘗넞過⾓唬ⴀ桧馄鵂5.3㿨㿨⻌❩䋑歑䚍⡤唬➃纈過腒⼮넞唬ⴀ桧馄鵂5.4瑟艎過祪'#(⼮넞唬ⴀ桧ッ梡ꥥ䎃륁㟞⸈罜㟞Ɤ涸馋⸷5.5㿨㿨⻌❩䋑歑䚍⡤唬➃纈涸㽶ꃑ6"㟞넞唬ⴀ桧剒넞5.6㿨⿺⟄♳⻌❩䋑歑䚍⡤唬➃纈⡤ꅾ䭷侨#.*㟞넞唬ⴀ桧㖲馄鵂5.7⻌❩䋑㥎䚍⡤唬➃纈➢㿨䒓㨤歌朐艑絕蒜馄㡮涸唬ⴀ桧馄鵂5.8㿨⿺⟄♳⻌❩䋑歑䚍⡤唬➃纈腒肘聽馄㡮唬ⴀ桧㖲馄鵂5.9㿨⿺⟄♳⻌❩䋑歑䚍⡤唬➃纈⵸⴩艑䒗䌢馄㡮唬ⴀ桧㖲馄鵂5.10㿨㿨⻌❩䋑㥎䚍⡤唬➃纈✌艑絕蒜馄㡮唬ⴀ桧剒넞唬ⴀ桧馄鵂5.11㿨㿨⻌❩䋑㥎䚍⡤唬➃纈넞⽭㘗➃✌㣢泿氻嫫)17꣉䚍唬ⴀ桧剒넞5.12㿨⿺⟄♳⻌❩䋑㥎䚍⡤唬➃纈낧餘毜匠낧㺙䏞唬ⴀ桧馄鵂 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⻌❩䋑⡤唬➃纈㢴絶䏞㢴㷖猰⡤唬䒗䌢絕卓翫ざⴔ區72 6.1鸑鵂䕧⫸㷖唬叅翫ざ㹊낉㹔唬崵〄梡涸⻌❩䋑⡤唬➃纈唬ⴀ腒肘聽ず傞ⴀ梡고聽⸆腊䭷叻䒗䌢6.2鸑鵂䗱歏㕃唬叅翫ざ䗱腮湱Ⱒ㹊낉㹔唬崵〄梡涸⻌❩䋑⡤唬➃纈唬ⴀ䗱歏䒗䌢ず傞ⴀ梡고䗱腮湱Ⱒ㹊낉㹔䭷叻䒗䌢 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⻌❩䋑⡤唬➃纈➃䊨兰腊滚䏀⨴䐀霉⠮絕卓ⴔ區81 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⻌❩䋑⡤唬➃纈礵ⲥ⼕毫絕湬肃浓癃叅絕卓ⴔ區88 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⻌❩䋑⡤唬➃纈礵ⲥ⼕毫聽浓癃叅絕卓ⴔ區92 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⻌❩䋑⡤唬➃纈⸓䙖䗱歏癃叅絕卓ⴔ區101 շ晜⻌❩䋑⡤唬➃纈⨴䐀䫣デո涸ꅾ銳絕雿 IMPORTANT CONCLUSIONS 1.浓氿ꥥ霄絕卓 !䎃剢傈荛䎃剢傈劍ꢂ㖈昶䐀꧋㔙⡤唬涸⻌❩䋑⡤唬➃纈  ➃妃⚥昶䐀꧋㔙䊺ꥥ霄ⵌ ➃烁霏浓氿⽰շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⚥⻌❩䋑⡤唬➃纈涸浓氿唬ⴀ桧荛㼱⚹˚ ➃  ➃た絯ꥥ霄䊨⡲➠㖈鵳遤⚥곫雦⠔剣刿㢴烁霏浓氿涸⻌❩䋑⡤唬➃纈鄄〄梡կ 2.⡤唬ꅾ銳絕卓 !շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո呏䰘䎃剢傈荛䎃剢傈⻌❩䋑⡤唬➃纈⡤唬㤛귬涸絆䧭ㄤぐ고湡涸⿬唬桧鷥䭊✫고⡤唬䒗䌢絕卓鵳遤絡雦絡雦絕卓儑爙䱗ꤑ♸䚍ⵆ湱Ⱒ涸⵸⴩艑䒗䌢馄㡮ծ✌艑絕蒜馄㡮瘝⡤唬䒗䌢絕卓낧ꆀⲸ㼱낧餘毜匠낧㺙䏞㖈⻌❩䋑⡤唬➃纈⚥涸唬ⴀ桧剒넞鴪ⵌ䖃♴⣜妃⚹⡤ꅾ䭷侨#.*㟞넞ծ歌朐艑絕蒜馄㡮ծ腒肘聽馄㡮ծ곯⸓腡䒗䌢馄㡮ㄤ䚪胐㔿ꃫ5$㟞넞唬ⴀ桧㖲馄鵂կ !㼆✵⻌❩䋑歑䚍⡤唬➃纈銻渷剒䎛岌涸⨴䐀꡼곿僽⡤ꅾ䭷侨#.*㟞넞唬ⴀ桧䖃♴⣜妃⚹낧ꆀⲸ㼱낧餘毜匠낧㺙䏞ծ腒肘聽馄㡮ծ⵸⴩艑䒗䌢馄㡮ㄤ歌朐艑絕蒜馄㡮唬ⴀ桧㖲㖈⟄♳կ !㼆✵⻌❩䋑㥎䚍⡤唬➃纈銻渷剒䎛岌涸⨴䐀꡼곿僽歌朐艑絕蒜馄㡮唬ⴀ桧䖃♴⣜妃⚹낧ꆀⲸ㼱낧餘毜匠낧㺙䏞ծ✌艑絕蒜馄㡮ծ⡤ꅾ䭷侨#.*㟞넞ծ䚪胐㔿ꃫ5$㟞넞ㄤ곯⸓腡䒗䌢馄㡮唬ⴀ桧㖲馄鵂կ !շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո侨䰘儑爙낧ꆀⲸ㼱낧餘毜匠낧㺙䏞ծ⡤ꅾ䭷侨#.*㟞넞ծ歌朐艑絕蒜馄㡮ծ⵸⴩艑䒗䌢馄㡮ծ腒肘聽馄㡮ㄤ✌艑絕蒜馄㡮鵶絯❀䎃唬ⴀ桧ッ鷶䎃♳⼮涸馋⸷կ 3.➃䊨兰腊♸礵ⲥ⼕毫고湡涸ꅾ銳絕卓 !շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⚥⻌❩䋑⡤唬➃纈➃䊨兰腊滚䏀⨴䐀霉⠮絕卓ⴔ區侨䰘儑爙⻌❩䋑⡤唬➃纈滚䏀䒗䌢唬ⴀⰟ雦 ➃妃滚䏀䒗䌢唬ⴀ桧կⰦ⚥⻌❩䋑歑䚍⡤唬➃纈滚䏀䒗䌢唬ⴀ ➃妃⽑䨾剣歑䚍⻌❩䋑⡤唬➃纈涸⻌❩䋑㥎䚍⡤唬➃纈滚䏀䒗䌢唬ⴀ ➃妃⽑䨾剣㥎䚍⻌❩䋑⡤唬➃纈涸կ䚪⡤罜鎊滚䏀䒗䌢唬ⴀ桧歑䚍넞✵㥎䚍⚂ꥥ满䎃륁㟞Ɤ滚䏀䒗䌢唬ⴀ桧僈儑㟞넞㖈㿨傞滚䏀䒗䌢唬ⴀ桧ⴀ梡騥駟䚍㟞Ɤկ涸⻌❩䋑⡤唬➃纈剣ざ䎇猫⿺⟄♳䒗䌢絕卓涸⻌❩䋑⡤唬➃纈唬ⴀ꨽銳用⽰㽠⼕涸ꅾ㣐꣉䚍絕卓կ !շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⚥⻌❩䋑⡤唬➃纈礵ⲥ⼕毫絕湬肃浓癃叅絕卓ⴔ區侨䰘儑爙䌢⽡幡m䚪⡤꣉䚍桧⚹Ⱖ⚥歑䚍꣉䚍桧⚹㥎䚍꣉䚍桧⚹կ䌢⽡幡m唬崵絕卓⚹꣉䚍涸⡤唬➃纈⚥剣涸⡤唬➃纈鵳遤✫肃Ꞥ唬叅肃Ꞥ⣜➢桧կ肃Ꞥ唬叅絕卓儑爙剣涸⡤唬➃纈肃Ꞥ唬叅〄 梡 䒗 䌢  Ⱖ ⚥ 絕 湬 肃 浓 ⽑ 嫱   絕 湬 肃 浓 浓 ⵸ 氻 」  ⺫ 䭍 艑 泿 瘝 ⽑ 嫱肃麤弯毹䧴肃拧瘝氻」⽑嫱唬ⴀ䒗䌢⚥絟㣐鿈ⴔ僽絕湬肃浓浓⵸氻」⯎ⴔ⡤梡䌢⽡幡m〳⟄䌐⸔⡤唬➃纈⿺傍〄梡絕湬肃浓浓⵸氻」⿺傞䎁곫⽰〳剣佪鼙⯝鵳♧姿〄㾝䧭絕湬肃浓涸굥ꤗ꣈浓✵劢搬կ !շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⚥⻌❩䋑⡤唬➃纈礵ⲥ⼕毫聽浓癃叅絕卓ⴔ區侨䰘儑爙欥妇㸝5.唬ⴀ䚪⡤聽浓넞굥ꤗ嫱⢾⚹կ⻌❩䋑⡤唬➃纈⚥歑䚍⽑嫱聽浓넞굥ꤗ絕卓嫱⢾⚹㥎䚍⽑嫱넞굥ꤗ絕卓嫱⢾⚹կ歑䚍넞굥ꤗ嫱⢾넞✵㥎䚍痗ざ聽浓〄氻桧歑䚍넞✵㥎䚍涸暵挿䲿爙歑䚍䎾刿⸈ꅾ錠聽腮⨴䐀朐ⲃ⸈䔂굥ꤗ港崵♸癃叅կ շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո⚥⻌❩䋑⡤唬➃纈⸓䙖䗱歏癃叅絕卓ⴔ區侨䰘儑爙⻌❩䋑⡤唬➃纈⸓䙖䗱歏䒗䌢唬ⴀⰟ雦 ➃䗱歏䒗䌢唬ⴀ桧կⰦ⚥歑䚍䒗䌢 ➃⽑䨾剣歑䚍⻌❩䋑⡤唬➃纈涸㥎䚍䒗䌢 ➃⽑䨾剣㥎䚍⻌❩䋑⡤唬➃纈涸կ䚪⡤罜鎊䒗䌢唬ⴀ桧歑䚍殜⡛✵㥎䚍⚂♶ず䚍ⵆ㖲ꥥ满䎃륁㟞Ɤ䗱歏䒗䌢唬ⴀ桧僈儑㟞넞㖈㿨傞䗱腮䒗䌢唬ⴀ桧ⴀ梡騥駟䚍㟞Ɤկ䗱歏⨴䐀霉⠮絕卓⺫䭍✫⚡㣐碫巑渷ぐ紩䒗䌢〄梡ꅾ㣐꣉䚍 ➃⽑嫱կ Chapter.01 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸侨䰘勻彂ծ湡叻➃纈ㄤ絡雦ⴔ區絶䏞 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸侨䰘勻彂ㄤ湡叻➃纈 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸灇瑕㼆韌⚹䎃剢傈荛䎃剢傈㖈昶䐀꧋㔙偫♴⻌❩䋑䨾㾩⡤唬⚥䗱⿬⸈⡤唬涸➃纈Ⱏ佐꧋紨♰➃妃կ昶䐀꧋㔙⡤唬侨䰘㖲ꅷ欽猙剣⻊鿈縭涸⼕毫✻㶸⪰⟄⥂ꥻ⻌❩䋑⡤唬➃纈侨䰘㸝Ⰼկ ⻌❩䋑# & * + * / (     䎃  剢  傈 荛     䎃  剢   傈 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸絡雦ⴔ區絶䏞 շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸絡雦ⴔ區絶䏞⺫䭍⻌❩䋑⡤唬➃纈涸䚍ⵆㄤ䎃륁ⴔ䋒⻌❩䋑⡤唬➃纈涸浓氿ꥥ霄絡雦ⴔ區⻌❩䋑⡤唬➃纈涸ぐ고⡤唬䒗䌢絕卓唬ⴀ桧涸䚪⡤ⴔ䋒ծ䚍ⵆⴔ䋒ㄤ䎃륁ⴔ䋒⻌❩䋑⡤唬➃纈⾎䎃⡤唬䒗䌢絕卓ⴔ區⻌❩䋑⡤唬➃纈➃䊨兰腊滚䏀⨴䐀霉⠮絕卓ⴔ區⻌❩䋑⡤唬➃纈礵ⲥ⼕毫絕湬肃浓癃叅絕卓ⴔ區⻌❩䋑⡤唬➃纈礵ⲥ⼕毫聽浓癃叅絕卓ⴔ區⻌❩䋑⡤唬➃纈⸓䙖䗱歏癃叅絕卓ⴔ區⻌❩䋑⡤唬➃纈㢴絶䏞㢴㷖猰⡤唬䒗䌢絕卓翫ざⴔ區 կ շ晜⻌❩䋑⡤唬➃纈䬄呋⨴䐀䫣デո涸⡤唬䒗䌢絕卓唬叅고湡霹僈 շ晜⻌❩