Abstract: Objective To explore the health status and management measures of doctors in surgical departments of a Three-A Grade hospital in Guangzhou. Methods A retrospective analysis was focused on the routine physical examination results of all the doctors in our hospital in 2018. According to the nature of their work，they were divided into operation group and non-operation group. Abnormalities in some indicators，such as blood sugar，lipids，uric acid，etc.，were statistically analyzed between the two groups. Results The incidence of abnormal blood glucose，lipids and uric acid（9.8%，38.7% and 23.3%） was significantly lower than that of the national residents. The incidence of abnormal blood glucose，blood lipids，uric acid and liver function in the operation group was higher than that in the nonoperation group，and the blood lipids increased significantly（P<0.05）. The abnormal rate of CHOL，TG and LDL-C increase was higher than that of the non operation group，and LDL-C had significant difference（P<0.05）. Conclusion The abnormal rate of metabolic diseases for the doctors of operating departments is higher than that in non-operating departments. It is necessary to strengthen the health care of， especially in the management and health education of blood lipids.

Key words: health examination, health management, surgical department doctor

摘要： 目的 探讨广州市某三甲医院手术科室医生的健康状况及健康管理的应对措施。方法 回顾性分析我院 2018 年全体医生的体检结果，并根据工作性质分为手术组和非手术组， 统计分析两组在血糖、血脂、尿酸等方面的异常情况。结果 医生的血糖、血脂和尿酸异常发病率（9.8%、38.7%和 23.3%）明显低于全国居民的异常水平；手术组在血糖、血脂、尿酸和肝功能异常发生率高于非手术组，且血脂显著性升高（P<0.05）；CHOL、TG、LDL-C 升高异常率高于非手术组，且 LDL-C 有显著性差异（P<0.05）。结论 手术科室医生在代谢性疾病指标异常率高于非手术科室，应加强手术医生的健康保健，尤其是在血脂方面的管理和健康宣教。

关键词: 健康体检, 健康管理, 手术科室医生