体检注意了！各年龄段“必查项”差别很大，现在看还不晚
<section data-role="outer" label="edit by 135editor" data-pm-slice="0 0 []"><section data-role="outer" label="edit by 135editor" data-pm-slice="11 10 []"><section data-role="outer" label="edit by 135editor" style=""><section data-role="outer" label="edit by 135editor" data-pm-slice="0 0 []"><section><section data-role="paragraph"><section><section style="text-align: center;" nodeleaf=""></section><section><span leaf=""><br/></span><span style="font-family: 宋体;font-size: 14pt;"><o:p></o:p></span></section><p style="font-size: 16px;text-indent: 2.125em;line-height: 2em;margin-bottom: 8px;display: block;text-align: justify;" data-pm-slice="0 0 []"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">很多人都有这样的经<span textstyle="" style="letter-spacing: 1px;">历：拿到体检报告看到几个“异常”指标就慌了神，开始猜测自己是不是有什么问题。</span></span></span></p><p style="font-size: 16px;text-indent: 2.125em;line-height: 2em;margin-bottom: 8px;display: block;text-align: justify;"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf=""><span textstyle="" style="letter-spacing: 1px;">事实上，</span><span textstyle="" style="letter-spacing: 1px;color: rgb(20, 94, 180);font-weight: bold;">虽然体检没有“异常”才是最好的，但有些看似异常的指标，并不代表真的有问题</span><span textstyle="" style="letter-spacing: 1px;">，比如低血压、慢心率等，看似“异常</span>”的指标可能是健康加分项。</span></span></p><section data-role="title" data-tools="135编辑器" data-id="164625"><section style="margin: 10px auto;"><section style="display: flex;justify-content: center;"><section style="display: flex;justify-content: center;"><section style="flex-shrink: 0;background-color: #145eb4;padding: 2px 10px;box-sizing:border-box;"><section style="font-size: 16px;color: #ffffff;text-align: center;border-radius: 0px;box-sizing:border-box;"><strong data-brushtype="text"><span leaf="">体检报告查出“异常”</span></strong></section></section><section style="border-bottom: 1px solid #ffcb5a;display: flex;align-items: center;box-sizing:border-box;"><section><section style="font-size: 16px;color: #145eb4;padding: 0 5px;box-sizing:border-box;"><strong data-brushtype="text"><span leaf="">一定代表有问题吗？</span></strong></section></section></section></section></section></section></section><section data-role="list"><ul style="list-style-type: square;" class=" list-paddingleft-2"><li><p style="line-height: 2em;margin-bottom: 8px;display: block;text-align: justify;"><strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">低血压：</span></span></strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">通常血压低于90/60毫米汞柱称为低血压。如果血压在这个数值附近，甚至略低一些，若没有头晕、眼前一黑这些大脑供血不好的表现，或者胸闷、气短等症状，就没必要太过担心。研究显示，<span textstyle="" style="color: rgb(20, 94, 180);font-weight: bold;">高压在90毫米汞柱以上，低压60毫米汞柱以上，数值越低，脑梗风险反而越低。</span></span></span></p></li><li><p style="line-height: 2em;margin-bottom: 8px;display: block;text-align: justify;"><strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">慢心率：</span></span></strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">成年人正常的心率范围为60~100次/分，而心率白天在55次/分以上通常也不会有头晕、胸闷等供血不足的症状。</span></span></p></li><li><p style="line-height: 2em;margin-bottom: 8px;display: block;text-align: justify;" data-mpa-action-id="mgp0acnhg6w" data-pm-slice="0 0 []"><strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="" mpa-font-style="mgp0acmz1bb9" style="font-size: 16px;">高密度脂蛋白高：</span></span></strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="" mpa-font-style="mgp0acmzss2" style="font-size: 16px;">这属于“好”胆固醇，对心脑血管有保护作用。如果体检报告对应的指标箭头向下就要注意饮食、增加运动了。</span></span></p></li></ul></section><p style="text-align: justify;text-indent: 2em;line-height: 2em;"><span data-mpa-action-id="mgp0b2ybwye" data-pm-slice="0 0 []"><strong data-source="cke"><span mpa-font-style="mgp0a75fc8s" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span style="letter-spacing: 1px;font-size: 16px;" mpa-font-style="mgp0b2xr1xro"><span leaf="">医生表示，</span></span></span></strong><span mpa-font-style="mgp0a75f1x6f" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span style="letter-spacing: 1px;font-size: 16px;" mpa-font-style="mgp0b2xr10qz"><span leaf="">体检结果中如果有箭头或者有符号，并不一定都表示有问题、有异常。领取体检报告时，可与医生进行面对面咨询。</span></span></span></span></p><p style="line-height: 1em;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="164625"><section style="margin: 10px auto;"><section style="display: flex;justify-content: center;"><section style="display: flex;justify-content: center;"><section style="flex-shrink: 0;background-color: #145eb4;padding: 2px 10px;box-sizing:border-box;"><section style="font-size: 16px;color: #ffffff;text-align: center;border-radius: 0px;box-sizing:border-box;"><strong data-brushtype="text"><span leaf="">不同年龄段体检</span></strong></section></section><section style="border-bottom: 1px solid #ffcb5a;display: flex;align-items: center;box-sizing:border-box;"><section><section style="font-size: 16px;color: #145eb4;padding: 0 5px;box-sizing:border-box;"><strong data-brushtype="text"><span leaf="">“必查项”有哪些？</span></strong></section></section></section></section></section></section></section><section data-role="list"><section><section data-role="list"><ul style="list-style-type: square;" class=" list-paddingleft-2"><li><p style="margin-bottom: 8px;line-height: 2em;margin-top: 8px;display: block;text-align: justify;"><span style="color: rgb(30, 90, 162);"><strong><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">学龄期儿童及青少年</span></span></strong></span></p></li></ul></section></section><p style="margin-bottom: 8px;display: block;line-height: 2em;text-indent: 2.125em;font-size: 16px;text-align: justify;"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">容易出现营养不良、贫血、近视、脊柱侧弯等问题，可以重点检查<span textstyle="" style="color: rgb(20, 94, 180);font-weight: bold;">生长发育状况和视力</span>等。</span></span></p><section><section data-role="list"><ul style="list-style-type: square;" class=" list-paddingleft-2"><li><p style="margin-bottom: 8px;display: block;line-height: 2em;text-align: justify;"><span style="color: rgb(30, 90, 162);"><strong><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">18岁至30岁人群 </span></span></strong></span><span style="font-size: 16px;letter-spacing: 1px;"><span leaf=""><br/></span></span></p></li></ul></section><p style="margin-bottom: 8px;display: block;line-height: 2em;text-indent: 2.125em;font-size: 16px;text-align: justify;"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">这个年龄段人群通常身体健康，建议每1至2年进行一次健康体检，常规检查血压、血糖、血脂及肝肾功能、血尿便常规、心电图等。</span></span></p><section><section data-role="list"><ul style="list-style-type: square;" class=" list-paddingleft-2"><li><p style="margin-bottom: 8px;display: block;line-height: 2em;text-align: justify;margin-top: 16px;"><span style="color: rgb(30, 90, 162);"><strong><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">30~40岁人群 “三高”是体检重点</span></span></strong></span></p></li></ul></section><p style="margin-bottom: 8px;display: block;line-height: 2em;text-indent: 2.125em;font-size: 16px;text-align: justify;"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">30岁后，虽然人体各项机能处于巅峰状态，但这个年龄段的人普遍工作压力大、应酬多，饮食习惯不科学且运动量不足，容易发胖。这一时期要重点关注<span textstyle="" style="color: rgb(20, 94, 180);font-weight: bold;">血压、血糖和血脂</span>变化，若有异常需马上调整。</span></span></p><section style="margin-bottom: 24px;margin-top: 24px;"><section style="margin-top:0px;display:block;" nodeleaf=""><span textstyle="" style="font-size: 16px;"></span></section></section><section data-tools="135编辑器" data-id="130984"><section style="margin: 10px auto;visibility: visible;"><section style="display: flex;justify-content: flex-start;visibility: visible;"><section style="display: flex;background-color: #ffcb5a;visibility: visible;"><section style="font-size: 16px;color: #ffffff;background-color: #145eb4;padding: 4px 10px 4px 15px;display: flex;align-items: center;box-sizing: border-box;visibility: visible;"><strong data-brushtype="text"><span leaf="">专家建议</span></strong></section><section style="flex-shrink: 0;visibility: visible;transform: translateX(-10px);-webkit-transform: translateX(-10px);-moz-transform: translateX(-10px);-o-transform: translateX(-10px);"><section style="width: 21px;height: 100%;background-color: #145eb4;border-right: 3px solid #ffffff;visibility: visible;box-sizing:border-box;transform: skew(20deg);-webkit-transform: skew(20deg);-moz-transform: skew(20deg);-o-transform: skew(20deg);"><p><span leaf=""><br/></span></p></section></section></section></section><section style="padding: 15px 10px;border-width: 1px;border-style: solid;border-color: #145eb4;box-sizing: border-box;visibility: visible;"><section data-autoskip="1" style="text-align: justify;line-height: 1.75em;letter-spacing: 1.5px;font-size: 14px;color: #333333;background-color: transparent;visibility: visible;" data-role="list"><ul style="list-style-type: disc;" class=" list-paddingleft-2"><li><p style="margin-bottom: 8px;visibility: visible;line-height: 2em;"><span style="visibility: visible;letter-spacing: 1px;font-size: 16px;"><span leaf="">每半年检查一次</span><strong><span leaf="">血压、血糖</span></strong><span leaf="">和</span><strong><span leaf="">血脂</span></strong><span leaf="">，肥胖人群则每3个月检查一次。</span></span></p></li><li><p style="margin-bottom: 8px;line-height: 2em;"><span style="letter-spacing: 1px;font-size: 16px;"><strong><span leaf="">女性</span></strong><span leaf="">重点关注</span><strong><span leaf="">妇科检查、乳腺检查</span></strong><span leaf="">项目。</span></span></p></li><li><p style="line-height:2em;"><span style="letter-spacing: 1px;font-size: 16px;"><strong><span leaf="">男性</span></strong><span leaf="">35岁以后，每1至2年增加</span><strong><span leaf="">前列腺</span></strong><span leaf="">检查。</span></span></p></li></ul></section></section></section></section><section data-role="list"><ul style="list-style-type: square;" class=" list-paddingleft-2"><li><p style="line-height: 2em;margin-bottom: 8px;display: block;text-align: justify;margin-top: 16px;"><span style="color: rgb(30, 90, 162);"><strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">40~50岁人群 心血管、肿瘤是体检重点</span></span></strong></span></p></li></ul></section><p style="line-height: 2em;margin-bottom: 8px;display: block;text-indent: 2.125em;font-size: 16px;text-align: justify;"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">40~50岁年龄段是“健康高危期”，<span textstyle="" style="color: rgb(20, 94, 180);font-weight: bold;">心血管疾病风险增加，必须关注心脏问题</span>；同时，这个年龄段，癌症发病逐渐增多。</span></span></p><section style="line-height: 2em;margin-bottom: 8px;display: block;" nodeleaf=""></section><section data-tools="135编辑器" data-id="130984"><section style="margin: 10px auto;"><section style="display: flex;justify-content: flex-start;"><section style="display: flex;background-color: #ffcb5a;"><section style="font-size: 16px;color: #ffffff;background-color: #145eb4;padding: 4px 10px 4px 15px;display: flex;align-items: center;box-sizing:border-box;"><strong data-brushtype="text"><span leaf="">专家建议</span></strong></section><section style="flex-shrink: 0;transform: translateX(-10px);-webkit-transform: translateX(-10px);-moz-transform: translateX(-10px);-o-transform: translateX(-10px);"><section style="width: 21px;height: 100%;background-color: #145eb4;border-right: 3px solid #ffffff;box-sizing:border-box;transform: skew(20deg);-webkit-transform: skew(20deg);-moz-transform: skew(20deg);-o-transform: skew(20deg);"><p><span leaf=""><br/></span></p></section></section></section></section><section style="padding: 15px 10px;border-width: 1px;border-style: solid;border-color: #145eb4;box-sizing: border-box;"><section data-autoskip="1" style="text-align: justify;line-height:1.75em;letter-spacing: 1.5px;font-size:14px;color:#333333;background-color: transparent;" data-role="list"><ul style="list-style-type: disc;" class=" list-paddingleft-2"><li><p style="margin-bottom: 8px;line-height: 2em;margin-top: 0px;display: block;"><span style="font-size: 16px;letter-spacing: 1px;"><strong><span leaf="">心脏彩超、心电图</span></strong><span leaf="">等检查不可少。</span><strong><span leaf="">肺部CT</span></strong><span leaf="">不可少，可筛查肺癌。</span></span></p></li><li><p style="margin-bottom: 8px;line-height: 2em;margin-top: 0px;display: block;"><span style="font-size: 16px;letter-spacing: 1px;"><strong><span leaf="">女性</span></strong><span leaf="">重点关注乳腺及妇科疾病，</span><strong><span leaf="">乳腺超声</span></strong><span leaf="">或</span><strong><span leaf="">钼靶检查</span></strong><span leaf="">筛查乳腺癌，</span><strong><span leaf="">人乳头瘤病毒（HPV）检测</span></strong><span leaf="">加上</span><strong><span leaf="">宫颈细胞学检查</span></strong><span leaf="">筛查宫颈癌。</span></span></p></li><li><p style="margin-bottom: 8px;line-height: 2em;margin-top: 0px;display: block;"><span style="font-size: 16px;letter-spacing: 1px;"><strong><span leaf="">男性</span></strong><span leaf="">重点关注胃肠疾病，可根据需要选择做</span><strong><span leaf="">胃肠镜</span></strong><span leaf="">，筛查胃癌、结直肠癌等。</span></span></p></li><li><p style="line-height: 2em;margin-top: 0px;display: block;"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">有肿瘤家族史，三代以内亲属有肿瘤病史的人，需要及早体检。</span></span></p></li></ul></section></section></section><section data-role="outer" label="edit by 135editor"><section><ul style="list-style-type: square;" class=" list-paddingleft-2"><li><p style="line-height: 2em;margin-bottom: 8px;display: block;text-indent: 0px;text-align: justify;margin-top: 16px;"><strong><span style="font-size: 16px;letter-spacing: 1px;color: rgb(30, 90, 162);"><span leaf="">50岁以上人群 骨密度、血管是体检重点</span></span></strong></p></li></ul></section></section><p style="line-height: 2em;margin-bottom: 8px;display: block;text-indent: 2.125em;font-size: 16px;text-align: justify;"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">50岁开始，人体机能衰退，尤其是<span textstyle="" style="color: rgb(20, 94, 180);font-weight: bold;">女性骨质疏松</span>高发。如果出现浑身疼痛、容易骨折等症状，就该考虑是否为骨质疏松。另外，还要警惕<span textstyle="" style="color: rgb(20, 94, 180);font-weight: bold;">胃肠道疾病、动脉粥样硬化</span>。</span></span></p><section style="line-height: 2em;margin-bottom: 8px;display: block;" nodeleaf=""></section><section data-tools="135编辑器" data-id="130984"><section style="margin: 10px auto;"><section style="display: flex;justify-content: flex-start;"><section style="display: flex;background-color: #ffcb5a;"><section style="font-size: 16px;color: #ffffff;background-color: #145eb4;padding: 4px 10px 4px 15px;display: flex;align-items: center;box-sizing:border-box;"><strong data-brushtype="text"><span leaf="">专家建议</span></strong></section><section style="flex-shrink: 0;transform: translateX(-10px);-webkit-transform: translateX(-10px);-moz-transform: translateX(-10px);-o-transform: translateX(-10px);"><section style="width: 21px;height: 100%;background-color: #145eb4;border-right: 3px solid #ffffff;box-sizing:border-box;transform: skew(20deg);-webkit-transform: skew(20deg);-moz-transform: skew(20deg);-o-transform: skew(20deg);"><p><span leaf=""><br/></span></p></section></section></section></section><section style="padding: 15px 10px;border-width: 1px;border-style: solid;border-color: #145eb4;box-sizing: border-box;"><section data-autoskip="1" style="text-align: justify;line-height:1.75em;letter-spacing: 1.5px;font-size:14px;color:#333333;background-color: transparent;" data-role="list"><ul style="list-style-type: disc;" class=" list-paddingleft-2"><li><p style="margin-bottom: 8px;line-height: 2em;"><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">50岁以上人群开始筛查</span><strong><span leaf="">骨密度、骨代谢水平</span></strong><span leaf="">。</span></span></p></li><li><p style="margin-bottom: 8px;line-height: 2em;"><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">警惕萎缩性胃炎、肠息肉、慢性溃疡等疾病癌变，</span><strong><span leaf="">胃肠镜检查</span></strong><span leaf="">不能少。</span></span></p></li><li><p style="line-height:2em;"><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">同时关注心脑血管疾病的筛查，如</span><strong><span leaf="">颈动脉超声、心脏彩超、心电图</span></strong><span leaf="">等。另外，做好</span><strong><span leaf="">眼科检查</span></strong><span leaf="">。</span></span></p></li></ul></section></section></section><p style="line-height:1em;"><span leaf=""><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="164625"><section style="margin: 10px auto;"><section style="display: flex;justify-content: center;"><section style="display: flex;justify-content: center;"><section style="flex-shrink: 0;background-color: #145eb4;padding: 2px 10px;box-sizing:border-box;"><section style="font-size: 16px;color: #ffffff;text-align: center;border-radius: 0px;box-sizing:border-box;"><strong data-brushtype="text"><span leaf="">关于体检的误区</span></strong></section></section><section style="border-bottom: 1px solid #ffcb5a;display: flex;align-items: center;box-sizing:border-box;"><section><section style="font-size: 16px;color: #145eb4;padding: 0 5px;box-sizing:border-box;"><strong data-brushtype="text"><span leaf="">你“踩雷”了吗？</span></strong></section></section></section></section></section></section></section></section><p style="text-indent: 2.125em;font-size: 16px;line-height: 2em;margin-bottom: 16px;display: block;text-align: justify;"><span style="font-size: 16px;letter-spacing: 1px;"><span leaf="">每年体检成了不少人的健康必修课，但有些错误的做法，可能让体检白做。到底哪些体检观念是错的？怎样才能避开这些坑？我们来一一拆解。</span></span></p><p style="line-height: 2em;font-size: 16px;text-indent: 2.125em;margin-bottom: 8px;display: block;text-align: justify;"><strong><span style="letter-spacing: 1px;font-size: 16px;color: rgb(30, 90, 162);"><span leaf="">误区一：选越贵的项目效果越好</span></span></strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf=""></span></span></p><p style="line-height: 2em;font-size: 16px;text-indent: 2.125em;margin-bottom: 16px;display: block;text-align: justify;"><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">并非越贵的检查项目越好，要选择适合自己的。比如影像学检查方面，既要考虑能够发现自己的潜在疾病，也要考虑辐射量。例如，PET-CT能够检查出来很多肿瘤相关方面的疾病，但是价格昂贵，而且它适用于在已经发现疾病的基础上再进行筛查，在体检过程中并不适用。</span></span></p><p style="line-height: 2em;font-size: 16px;text-indent: 2.125em;margin-bottom: 8px;display: block;text-align: justify;"><strong><span style="letter-spacing: 1px;font-size: 16px;color: rgb(30, 90, 162);"><span leaf="">误区二：等身体不适再做体检</span></span></strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf=""></span></span></p><p style="line-height: 2em;font-size: 16px;text-indent: 2.125em;margin-bottom: 16px;display: block;text-align: justify;"><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">不行，健康体检的目的是对疾病进行早发现、早干预。如果身体已经出现不适，往往说明疾病已经发展到一定的阶段，这时就不适合去体检，而是去就医了。体检是在自我感觉良好的情况下，定期去做的常规身体检查。</span></span></p><p style="line-height: 2em;font-size: 16px;text-indent: 2.125em;margin-bottom: 8px;display: block;text-align: justify;"><span style="color: rgb(30, 90, 162);"><strong><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">误区三：体检报告看完不用管后续</span></span></strong></span><span style="letter-spacing: 1px;font-size: 16px;"><span leaf=""></span></span></p><p style="line-height: 2em;font-size: 16px;text-indent: 2.125em;margin-bottom: 8px;display: block;text-align: justify;"><span style="letter-spacing: 1px;font-size: 16px;"><span leaf="">不行，体检报告拿到手里以后一定要仔细阅读。第一，先要仔细阅读体检报告中对于诊断或阳性结果的描述、建议，以及干预措施。第二，对于重大的异常结果，一定要及时就医，寻求进一步诊断或治疗意见。</span></span></p></section></section></section></section></section></section></section></section></section></section></section><p style="display: none;"><mp-style-type data-value="3"></mp-style-type></p><p style="color:#999;font-size:.8em;margin-top:1em">转载声明：本文转载自无线徐州</p><p><br/></p><link rel="stylesheet" href="//bbs.221700.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_Iec" id="wcn_editor_css"/>
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