Article 1 Organic heart diseases such as rheumatic heart disease, cardiomyopathy, coronary heart disease, congenital heart disease and Keshan disease are unqualified. People with congenital heart disease who don't need surgery or surgical cure are qualified.
In case of any of the following circumstances, the reasonable change of heart disease is ruled out and qualified:
(a) the heart auscultation physiological murmur;
(2) Contraction is less than 6 times per minute (strictly controlled for those with a history of myocarditis);
(3) The heart rate is 5o-60 beats per minute or 100- 1 100;
(4) Other conditions of abnormal electrocardiogram.
Article 2 The blood pressure is qualified within the following range:
Systolic blood pressure is 90 mmhg-140mmhg (12.00-18.66kpa);
Diastolic pressure 60 mmhg-90 mmhg (8.00-12.00 kpa).
Article 3 Blood disease, unqualified. Simple iron deficiency anemia, male hemoglobin is higher than 90g/L and female hemoglobin is higher than 80g/L, which is qualified.
Article 4 Tuberculosis is unqualified. But the following conditions are qualified:
(1) Primary pulmonary tuberculosis, secondary pulmonary tuberculosis and tuberculous pleurisy, and the stable period after clinical cure is 65438 0 years;
(2) Extrapulmonary tuberculosis: renal tuberculosis, bone tuberculosis, peritoneal tuberculosis, lymph node tuberculosis, etc. There was no recurrence in 2 years after clinical cure, and there was no change after examination in a specialized hospital.
Article 5 Chronic bronchitis with obstructive emphysema, bronchiectasis and bronchial asthma is unqualified.
Sixth serious chronic gastrointestinal diseases, unqualified. Gastric ulcer or duodenal ulcer has healed, and there is no bleeding history within 1 year, and those who are asymptomatic above 1 year are qualified; Those without serious complications after subtotal gastrectomy are qualified.
Class VII acute and chronic hepatitis, unqualified. After examination, hepatitis was excluded, and the carrier of hepatitis B pathogen was qualified.
Article 8 All kinds of malignant tumors and liver cirrhosis are unqualified.
Article 9 Acute and chronic nephritis, chronic pyelonephritis, polycystic kidney disease and renal insufficiency are unqualified.
Tenth diabetes, diabetes insipidus, acromegaly and other endocrine system diseases, unqualified. Those who have no symptoms and signs 1 year after hyperthyroidism is cured are qualified.
Article 11 Those who have a history of epilepsy, psychosis, hysteria, sleepwalking at night and severe neurosis (frequent headache, dizziness, insomnia, obvious memory loss, etc.). ), but the abuse and dependence of psychoactive substances are unqualified.
Twelfth lupus erythematosus, dermatomyositis and/or polymyositis, scleroderma, polyarteritis nodosa, rheumatoid arthritis and other diffuse connective tissue diseases, Takayasu arteritis, unqualified.
Thirteenth advanced schistosomiasis, advanced filariasis with rubber swelling or chyluria, unqualified.
Fourteenth skull defect, intracranial foreign body retention, brain malformation, post-traumatic syndrome, unqualified.
Fifteenth severe chronic osteomyelitis, unqualified.
Sixteen degree simple goiter, unqualified.
Seventeenth gallstones or urinary stones with obstruction are unqualified.
Eighteenth gonorrhea, syphilis, chancre, sexually transmitted lymphogranuloma, condyloma acuminatum, genital herpes, AIDS, unqualified.
Nineteenth binocular corrected vision is less than 0.8 (standard logarithmic vision is 4.9) or eye diseases with obvious visual impairment are unqualified.
Article 20 Both ears have hearing impairment, and those who can't hear in a whisper within 3 meters when wearing a hearing aid are not qualified.
Twenty-first other serious diseases that are not included in the medical examination standards and affect the normal performance of duties are unqualified.
Notice on Revising the General Standard of Civil Servant Employment Physical Examination (Trial) and the Operation Manual of Civil Servant Employment Physical Examination (Trial)
No [20 10] 19 issued by Ministry of Human Resources and Social Security.
Departments (bureaus) of human resources and social security (personnel) of all provinces, autonomous regions and municipalities directly under the Central Government, Civil Service Bureau, Health Department (bureau), Personnel Bureau and Health Bureau of Xinjiang Production and Construction Corps, and personnel (cadre) departments of various ministries and commissions in the State Council:
According to the requirements of the State Council, Ministry of Human Resources and Social Security, the Ministry of Education and the Ministry of Health jointly issued the Notice on Further Standardizing the Physical Examination Items for Admission and Employment and Safeguarding the Rights and Interests of HBsAg Carriers in Admission and Employment (Ministry of Human Resources and Social Security Fa [20 10] 12). According to the provisions of the document, the relevant matters concerning the revision of the General Standard for Civil Servant Employment Physical Examination (Trial) and the Operation Manual for Civil Servant Employment Physical Examination (Trial) are hereby notified as follows:
First, the "General Standard for Civil Servant Recruitment Physical Examination (Trial)" Article 7 "All kinds of acute and chronic hepatitis are unqualified. If hepatitis is excluded after examination, the carrier of hepatitis B pathogen is qualified. " Revised as "all kinds of acute and chronic hepatitis, unqualified".
Two, modify the "civil service recruitment physical operation manual (Trial)" third, seventh "about hepatitis" content (see annex).
III. Paragraph 1.3.5 in Chapter II "Physical Examination Items and Operating Procedures" of the Manual for Physical Examination of Civil Servants (for Trial Implementation) 3) "Grading of goiter: Grade I, zoom in on those who are invisible but can be touched; Second degree, swelling can be seen, but it can also touch but not exceed the anterior edge of sternocleidomastoid muscle; Third degree, goiter exceeds the anterior edge of sternocleidomastoid muscle. " Revised as "goiter classification: I degree, invisible but tangible; Second degree, swelling is visible and palpable, but in sternocleidomastoid muscle; ⅲ degree, exceeding the outer edge of sternocleidomastoid muscle. "
IV. Amend the eighth line of 6.3.3 in Chapter II Physical Examination Items and Operating Procedures of Civil Servants Physical Examination Manual (Trial) to read "Serum ALT is higher than the upper limit of reference value 1 times".
5. Amend Article 7.2 (3) of Chapter II Physical Examination Items and Operating Procedures of Civil Servants Manual (Trial) to "No conclusion yet: further examination is generally needed", which generally means re-examination or further examination is needed.
The intransitive verb changes the "occasional benign premature beats" in the fourth section of Article 3 (1. 1.6) of the Detailed Rules for the Implementation of the General Standard for Physical Examination of Civil Servants (for Trial Implementation) to "occasional benign premature beats".
Seven. 1. 1.6 "Detailed Rules for the Implementation of General Standards for Physical Examination of Civil Servants (Trial)", the phrase "preexcitation syndrome with tachycardia history" in the fourth (20th) and fifth lines is revised to "preexcitation syndrome".
Eight. The 10.3.3 "Manual" in Chapter III "Detailed Rules for the Implementation of General Standards for Civil Servants' Physical Examination (Trial)" was changed to "Manual", and the threshold of impaired fasting blood glucose (IFG) was changed to 5.7-6.9 mmol/L..
All localities and departments should conscientiously implement the revised General Standard for Civil Servant Recruitment Physical Examination (Trial) and the Manual for Civil Servant Recruitment Physical Examination (Trial), and earnestly do a good job in the physical examination of civil servants.
Ministry of Human Resources and Social Security
hygiene department
20 10 March 8th
Attachment: Revision of Article 7 "About Hepatitis" in Chapter III of Civil Servant Physical Examination Manual (Trial)
Class VII acute and chronic hepatitis, unqualified.
Article 7. 1 explains that the liver, like other parts of the human body, can also have inflammation, swelling, pain and hepatocyte necrosis for various reasons, which is manifested by the significant increase of serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels in liver biochemical examination. There are many causes of hepatitis, the most common one in clinic is viral hepatitis caused by hepatitis virus, in addition to alcoholic hepatitis, drug hepatitis, autoimmune hepatitis, hereditary metabolic liver disease and many other types. Hepatitis is very harmful to human health, especially viral hepatitis has been listed as a legal class B infectious disease, which may develop into cirrhosis in the later stage. Therefore, all kinds of hepatitis patients, whether acute or chronic, are judged to be unqualified once diagnosed.
7. 1. 1 Viral hepatitis is a common infectious disease caused by hepatitis virus, which has the characteristics of strong infectivity, wide epidemic area and high incidence rate. The main clinical manifestations are fatigue, loss of appetite, nausea, vomiting, liver pain, liver swelling and liver cell damage, and some patients may have jaundice and fever. According to different pathogenic viruses, viral hepatitis can be divided into many types. At present, there are five internationally recognized types of viral hepatitis: A, B, C, D and E, among which hepatitis A and hepatitis E are mostly acute and belong to self-limiting diseases. After treatment, most patients recover within 3 ~ 6 months, and generally do not turn into chronic hepatitis. Hepatitis B, C and D are easy to develop into chronic diseases, a few can develop into posthepatitic cirrhosis, and a few show severe course. Chronic hepatitis B and C are closely related to the occurrence of primary hepatocellular carcinoma.
7. 1.2 Other hepatitis includes alcoholic hepatitis, drug hepatitis, autoimmune hepatitis, ischemic hepatitis, hereditary metabolic liver disease, chronic hepatitis with unknown causes, etc. , briefly described as follows:
1) alcoholic hepatitis: liver damage caused by long-term heavy drinking. In addition to alcohol itself directly damaging liver cells, acetaldehyde, a metabolite of alcohol, also has obvious toxic effects on liver cells, leading to degeneration and necrosis of liver cells, and then fibrosis. In severe cases, repeated episodes of hepatitis can lead to cirrhosis. Clinically, alcoholic hepatitis can be divided into three stages, namely alcoholic fatty liver, alcoholic hepatitis and alcoholic cirrhosis, which can exist independently or simultaneously.
2) Drug-induced hepatitis: The liver is an important organ for drug concentration, transformation and metabolism, and most drugs are eliminated by biotransformation in the liver. However, some drugs can damage liver cells, lead to degeneration and necrosis of liver cells, abnormal liver biochemical examination, and lead to acute or chronic drug-induced hepatitis, such as isoniazid, rifampicin and sulfonamides. Drug-induced hepatocyte injury can be divided into two categories. One is dose-dependent damage, that is, drugs can only cause liver cell damage if they reach a certain high dose, such as alcoholic hepatitis. The other is allergic drug poisoning, that is, an individual will have a strong allergic reaction to certain drugs. Once these drugs are taken (regardless of dosage), they will cause liver cell damage. Most of these patients are accompanied by other related allergic manifestations, such as acute urticaria and eosinophilia in the blood.
3) Autoimmune hepatitis: The disease is mainly seen in young and middle-aged women, and its onset is mostly hidden or slow, and its clinical manifestations are similar to those of chronic hepatitis B ... The mild symptoms are not obvious, only the liver biochemical examination is abnormal; In severe cases, fatigue, jaundice, skin itching and other symptoms may occur, and liver cirrhosis often develops in the later stage, often accompanied by autoimmune diseases of extrahepatic system, such as thyroiditis and ulcerative colitis.
4) Ischemic hepatitis: Ischemic hepatitis is the secondary damage of liver cells caused by various related primary diseases, such as heart failure caused by cardiovascular diseases. Venous blood cannot return to the heart and stay in the liver, resulting in congestion and swelling of the liver, degeneration and necrosis of liver cells and abnormal biochemical examination of the liver.
5) Hereditary metabolic liver disease: refers to a group of diseases caused by hereditary metabolic disorder. Its common feature is that it has some metabolic disorder, and the lesions involve organs and tissues such as liver. Therefore, in addition to hepatomegaly and liver function damage, clinical manifestations are accompanied by corresponding symptoms, signs and abnormal laboratory examination of damaged organs and tissues. Such as hepatolenticular degeneration, hematoporphyria, glycogen storage disease and hepatic amyloidosis.
6) Chronic hepatitis with unknown causes: it is not a specific type of hepatitis, but only refers to some hepatitis with unknown etiology and medical history. With the development of medical science and technology, these diseases will find out the specific causes and gradually decrease. It is estimated that about a quarter of this hepatitis is caused by viruses.
7.2 Diagnostic Points
1, liver examination:
1) routine detection of ALT and AST, these two enzymes can be increased in the incubation period and early onset of hepatitis, which is helpful for early diagnosis.
2) Abdominal B-ultrasound: The sonogram of viral hepatitis often shows diffuse liver disease, but the liver diseases caused by drug hepatitis, alcoholic hepatitis, liver cirrhosis and various metabolic diseases can also show diffuse changes, which are difficult to distinguish on the sonogram. Therefore, it is necessary to combine clinical and other examination results for comprehensive analysis.
Ultrasonic manifestations of diffuse liver disease: in acute stage, the manifestations are hepatomegaly, hypoechoic liver parenchyma and sparse light spots. Some patients may have biliary system changes, gallbladder wall thickening, mucosal edema and low echo. In persistent cases, the liver is enlarged, the echo of the liver is enhanced, uneven, and the light spot is thick, which may be accompanied by spleen enlargement or/and portal vein diameter widening.
2. Standard:
1) The serum ALT or AST rises more than 2 times the upper limit of the reference value (for example, the upper limit of the normal reference value is X, and if it exceeds 2 times the upper limit of the reference value, it will exceed 2X), and it is unqualified.
2) The increase of serum ALT or AST does not exceed 2 times of the upper limit of reference value, but the B-ultrasound image shows diffuse liver disease (except fatty liver), which is unqualified.
As a selective physical examination, the epidemiological data, clinical symptoms and pathogenic data of the subjects are often unreliable and the signs are generally not obvious. Therefore, hepatitis should be diagnosed or ruled out mainly according to liver biochemistry and abdominal B-ultrasound examination.
7.3 Preventive measures
7.3. 1 In all hepatitis testing items, hepatitis B testing is not allowed.
7.3.2 Liver biochemical examination in civil servants' physical examination refers to ALT and AST. If the test value is slightly abnormal (that is, not more than 2 times of the upper limit of the reference value) and other test results are normal, the conclusion that the physical examination is qualified can be directly made.
7.3.3 The diagnosis of hepatitis includes clinical diagnosis, etiological diagnosis and pathological diagnosis. As a physical examination, we only need to make a conclusion on whether it is qualified according to the standard, and the invasive pathological diagnosis method of liver puncture is not suitable as an auxiliary examination item.
Special Standards for Physical Examination of Civil Servants (for Trial Implementation)
Ministry of Human Resources and Social Security No.201082
This standard is applicable to candidates who apply for civil servants with special physical requirements. Candidates who apply for civil service positions with special requirements for physical conditions shall meet the requirements of the General Standard for Physical Examination of Civil Servants (Trial) and related positions in this standard for physical conditions.
Part I Posts of the People's Police
Article 1 One-sided naked eye vision is less than 4.8, and it is unqualified (except for professional and technical posts of state security organs). Forensic medicine, physical evidence inspection and identification, information and communication, network security management, financial accounting, foreign language and minority language translation, traffic safety technology, safety prevention technology, explosive handling, police dog technology and other positions, the unilateral corrected vision is less than 5.0, which is unqualified.
Article 2 color blindness, unqualified. Weak color, forensic medicine, physical evidence inspection and appraisal positions, unqualified.
Article 3 Skin diseases that affect the face and are difficult to cure (such as vitiligo, psoriasis, hemangioma, spot nevus, etc. ), or have obvious disease characteristics (such as facial deformity, torticollis that cannot be corrected by itself, abnormal gait, etc. ), are not qualified.
The fourth tattoo is unqualified.
Article 5 Limb dysfunction is unqualified.
Article 6 If the hearing of one-sided whisper is less than 5 meters, it is unqualified.
Article 7 The sense of smell is dull and unqualified.
Article 8 HBV pathogen carriers and special police posts are unqualified.
Article 9 The post height 170- 185cm of China civil aviation air police officers meets the medical examination standard of IV-B medical examination certificate in the Rules for the Administration of Medical Examination Standards and Medical Examination Certificates for Civil Aviation Personnel in China (except item 67.4 15 (c)).
Article 10 The National Standards for Seafarers' Health Examination and the Notice on Adjusting the Requirements for Seafarers' Health Examination are also implemented in the customs' maritime anti-smuggling ship driving posts, maritime anti-smuggling engineer management posts, maritime anti-smuggling inspection posts and entry-exit frontier inspection ship driving posts (Haizuzu [2010] No.306).
Part II Other positions
Article 11 The posts of passenger inspection, customs cargo inspection, mapping and map printing, medical inspection, textile inspection and supervision, instrument inspection and supervision, cosmetics inspection and supervision, and animal and plant quarantine at the port site are unqualified; Color blindness (except those with normal monochrome recognition ability), posts in foreign affairs departments, electromechanical inspection and supervision posts, chemical products inspection and supervision posts, chemical mineral products inspection and supervision posts, coal mine safety supervision and law enforcement posts, and boarding quarantine and appraisal posts are unqualified.
Twelfth physical dysfunction, coal mine safety supervision and law enforcement posts, boarding quarantine appraisal posts, on-site inspection posts and customs cargo inspection posts, unqualified.
Article 13 The whispering hearing of both parties is less than 5 meters, and the positions of electromechanical inspection and supervision, chemical product inspection and supervision, chemical and mineral products inspection and supervision, animal quarantine and coal mine safety supervision and law enforcement are unqualified.
Fourteenth food inspection and supervision, cosmetics inspection and supervision, animal and plant quarantine, medical inspection, health quarantine, chemical products inspection and supervision, customs goods inspection and other posts are unqualified.
Fifteenth infectious, suppurative or exudative skin diseases, medical inspection posts, health and quarantine posts, food inspection and supervision posts, cosmetics inspection and supervision posts, animal and plant quarantine posts, chemical products inspection and supervision posts and port on-site passenger inspection posts are unqualified.
Article 16 China civil aviation flight technical supervision posts shall be implemented according to the first-class medical examination standard (except item 67. 1 15(5)) or the second-class medical examination certificate in the Rules for the Administration of Medical Examination Standards and Medical Examination Certificates for Civil Aviation Personnel in China.
Article 17 For the posts of water operators, the National Standards for the Health Examination of Seafarers and the Notice on Adjusting the Requirements for the Health Examination of Seafarers shall be implemented.