General standards for physical examination of civil servants (for Trial Implementation)
Article 1 Organic heart diseases such as rheumatic heart disease, cardiomyopathy, coronary heart disease, congenital heart disease and Keshan disease are unqualified. Those with congenital heart disease who do not need surgery or who are cured by surgery are qualified.
In case of any of the following circumstances, the rational change of heart disease is ruled out and qualified:
(a) the heart auscultation physiological murmur;
(2) Preoccasional contractions less than 6 times per minute (strictly controlled by those with a history of myocarditis);
(3) The heart rate is 5o-60 beats or 100-110 beats per minute;
(4) Other circumstances in which the electrocardiogram is abnormal.
Article 2 If the blood pressure is within the following range, it is qualified:
Systolic blood pressure is 90mmhg-140mmhg (12.00-18.66kpa);
Diastolic pressure is 60 mmhg-90 mmhg (8.00-12.00 kpa).
Article 3 Blood disease, unqualified. Simple iron deficiency anemia, with hemoglobin higher than 90g/L in men and 80g/L in women, is qualified.
Article 4 Tuberculosis is unqualified. But the following conditions are qualified:
(a) primary pulmonary tuberculosis, secondary pulmonary tuberculosis, tuberculous pleurisy, stable for 1 year after clinical cure;
(2) Extrapulmonary tuberculosis: renal tuberculosis, bone tuberculosis, peritoneal tuberculosis, lymph node tuberculosis, etc., which have not recurred for 2 years after clinical cure and have not changed after examination in specialized hospitals.
Article 5 Chronic bronchitis with obstructive emphysema, bronchiectasis and bronchial asthma is unqualified.
Sixth serious chronic stomach and intestinal diseases, unqualified. Gastric ulcer or duodenal ulcer has healed, there is no bleeding history within 1 year, and those who have no symptoms for more than 1 year are qualified; Those who have no serious complications after subtotal gastrectomy are qualified.
Seventh kinds of acute and chronic hepatitis, unqualified. The carrier of hepatitis B pathogen is qualified if hepatitis is excluded after examination.
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 for one year after hyperthyroidism is cured are qualified.
Article 11 Those who have a history of epilepsy, mental illness, hysteria, nocturnal sleepwalking, severe neurosis (frequent headache, dizziness, insomnia, obvious memory loss, etc.), and psychoactive substance abuse and dependence 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.
Sixteenth 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 4.9) or eye disease with obvious visual impairment, unqualified.
Article 20 Both ears have hearing impairment, and those who can’t hear when they whisper within 3 meters when wearing hearing AIDS 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.19 [2010] issued by the 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, the Ministry of Human Resources and Social Security, the Ministry of Education and the Ministry of Health jointly issued the Notice on Further Standardizing the Admission and Employment Physical Examination Items and Safeguarding the Admission and Employment Rights of HBsAg Carriers (No.12 [2010] issued by the Ministry of Human Resources and Social Security). 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 of civil service recruitment physical examination (Trial)" Article 7 "All kinds of acute and chronic hepatitis, unqualified. The carrier of hepatitis B pathogen is qualified if hepatitis is excluded after examination. " Revised as "all kinds of acute and chronic hepatitis, unqualified".
Two, the revision of the "civil service recruitment physical examination operation manual (Trial)" article 3, article 7 "on hepatitis" content (see annex).
Third, the article 1.3.5 in "Physical Examination Items and Operating Procedures" in Chapter 2 of "Manual for Physical Examination of Civil Servants (Trial)" 3) "Grading of goiter: I degree, those who can’t see the enlargement but can touch it; 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 "Grading of goiter: I degree, which can not be seen but can be touched; ⅱ degree, swelling can be seen and touched, but it is within sternocleidomastoid muscle; ⅲ degree, exceeding the outer edge of sternocleidomastoid muscle. "
Fourth, the eighth line of 6.3.3 in the Physical Examination Items and Operating Procedures in Chapter 2 of the Manual for Physical Examination of Civil Servants (Trial) is revised as "Serum ALT is more than 1 time higher than the upper limit of the reference value".
5. Amend Article 7.2 (3) of Physical Examination Items and Operating Procedures in Chapter 2 of the Manual for Physical Examination of Civil Servants (for Trial Implementation) to read "No conclusion for the time being: generally speaking, further examination is needed", which generally means re-examination or further examination is needed.
VI. Revise the "occasional benign premature beats" in 1.1.6 (4) (14) of Chapter 3 "Detailed Rules for the Implementation of General Standards for Civil Servants’ Employment Physical Examination (Trial)" to "occasional premature beats".
VII. Revise "Pre-excitation syndrome with tachycardia history" as "Pre-excitation syndrome" in Item 4) and Item 5 (20) of Article 3 "Implementation Rules of General Standard for Civil Servant Employment Physical Examination (Trial)" in the Operating Manual for Civil Servant Employment.
VIII. The 10.3.3 "This Manual revises the threshold value of impaired fasting blood glucose (IFG) to 5.7-6.9mmol/L" in Chapter 3 "Implementation Rules of General Standards for Physical Examination of Civil Servants (for Trial Implementation)" is revised to "This Manual revises impaired fasting blood glucose (IFG).
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 civil servant recruitment physical examination.
Ministry of Human Resources and Social Security
health department
March 8, 2010
Attachment: Revision of Article 7 "About Hepatitis" in Chapter 3 of the Manual for Physical Examination of Civil Servants (Trial)
Seventh kinds of acute and chronic hepatitis, unqualified.
7.1 The article 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 patients with hepatitis, 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, hepatomegaly and hepatocyte damage, and some patients may have jaundice and fever. According to the different pathogenic viruses, viral hepatitis can be divided into many types. At present, there are five internationally recognized viral hepatitis types: A, B, C, D and E. Among them, hepatitis A and hepatitis E are mostly acute and belong to self-limiting diseases. After treatment, most patients recover in 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 of them can develop into posthepatitic cirrhosis, and a few of them 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-induced hepatitis, autoimmune hepatitis, ischemic hepatitis, hereditary metabolic liver disease, chronic hepatitis with unknown causes, etc., which are briefly described as follows:
1) Alcoholic hepatitis: liver damage caused by long-term heavy drinking. In addition to alcohol itself can directly damage liver cells, acetaldehyde, a metabolite of alcohol, also has obvious toxic effect on liver cells, which leads to degeneration and necrosis of liver cells, and then fibrosis, and in severe cases, liver cirrhosis can be caused by repeated hepatitis attacks. Clinically, alcoholic hepatitis can be divided into three stages, namely alcoholic fatty liver, alcoholic hepatitis and alcoholic cirrhosis, which can exist alone or simultaneously.
2) Drug-induced hepatitis: The liver is an important organ for drug concentration, transformation and metabolism, and most drugs are eliminated in the liver by biotransformation. However, some drugs will damage liver cells in clinic, resulting in degeneration and necrosis of liver cells and abnormal biochemical examination of liver, leading to acute or chronic drug-induced hepatitis, such as isoniazid, rifampicin and sulfonamides. Drug-induced liver cell damage can be divided into two categories. One is dose-dependent damage, that is, the drug will only cause liver cell damage when it reaches a certain high dose, such as alcoholic hepatitis. The other is allergic drug poisoning, that is, individuals will have a strong allergic reaction to certain drugs, and once they take these drugs (regardless of the dose), they can 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: This 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.. Mild symptoms are not obvious, only abnormal liver biochemical examination occurs; In severe cases, fatigue, jaundice, skin itching and other symptoms may occur, which often develop into cirrhosis 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 can not return to the heart and stay in the liver, resulting in hyperemia 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. Their common feature is that they have some metabolic disorder, and the lesions involve the liver and other organs and tissues at the same time. Therefore, in addition to hepatomegaly and liver function damage, the 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 kind of hepatitis is caused by virus.
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 make a comprehensive analysis in combination with clinical and other examination results.
Ultrasonic manifestations of diffuse liver disease: The acute stage is characterized by hepatomegaly, low echo of liver parenchyma and sparse light spots. Some patients may have biliary system changes, gallbladder wall thickening and mucosal edema with low echo. In persistent cases, the liver is enlarged, the liver echo is enhanced, uneven, and the light spot is thick, which may be accompanied by spleen enlargement or/and portal vein diameter widening.
2. Criteria:
1) The increase of serum ALT or AST exceeds the upper limit of reference value by 2 times (for example, the upper limit of normal reference value is X, and exceeding the upper limit of reference value by 2 times means exceeding 2X), and it is unqualified.
2) The increase of serum ALT or AST does not exceed 2 times of the upper limit of the 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 etiological data of the subjects are often unreliable, and the signs are generally not obvious. Therefore, hepatitis should be diagnosed or excluded mainly based on liver biochemistry and abdominal B-ultrasound examination.
7.3 Precautions
7.3.1 All hepatitis detection items are not allowed to be tested for hepatitis B..
7.3.2 The liver biochemical examination in civil servants’ physical examination refers to ALT and AST. If the detection value is slightly abnormal (that is, not more than 2 times the upper limit of the reference value), and other detection 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, it is only necessary to make a conclusion on whether it is qualified according to the criteria, 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)
No.82 [2010] issued by the Ministry of Human Resources and Social Security
This standard is applicable to candidates who apply for civil servants with special physical requirements. Candidates who apply for positions of civil servants with special requirements for physical conditions shall meet the requirements of the General Standard for Physical Examination of Civil Servants (Trial) and the relevant positions in this standard for physical conditions.
The first part of the people’s police positions
Article 1 One-sided naked eye vision is less than 4.8, and it is unqualified (except for professional and technical positions in 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 ordnance disposal, police dog technology and other positions, unilateral corrected vision is less than 5.0, unqualified.
Article 2 color blindness, unqualified. Weak color, forensic, 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, spotted nevus, etc.), or obvious disease features (such as facial deformity, torticollis that cannot be corrected by itself, abnormal gait, etc.), are unqualified.
Article 4 Tattoos are 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, special police positions, are unqualified.
Article 9 China Civil Aviation air marshal’s position is 170-185cm in height, and meets the medical standard of Class IVb medical certificate (except item 67.415-c) in the Management Rules of Medical Standards and Medical Certificate for Civil Aviation Personnel in China, and is qualified.
Article 10 The national standards for the health examination of seafarers and the Notice on Adjusting the Requirements for the Health Examination of Seafarers (H.J. [2010] No.306) shall also be implemented in the customs’ maritime anti-smuggling ship driving position, maritime anti-smuggling marine engineer management position, maritime anti-smuggling inspection position and entry-exit frontier inspection ship driving position.
Part II Other positions
Article 11. The posts of on-site passenger inspection at ports, customs cargo inspection, surveying and mapping and map printing, medical inspection, textile inspection supervision, instrument inspection supervision, cosmetics inspection supervision and animal and plant quarantine are unqualified; Color blindness (except those with normal monochrome recognition ability), positions in foreign affairs departments, electromechanical inspection and supervision positions, chemical products inspection and supervision positions, chemical mineral products inspection and supervision positions, coal mine safety supervision and law enforcement positions and boarding quarantine appraisal positions are unqualified.
Twelfth physical dysfunction, coal mine safety supervision and law enforcement positions, boarding quarantine appraisal positions, on-site inspection positions and customs cargo inspection positions, unqualified.
Article 13 The hearing of both sides whispering is less than 5 meters, and the positions of electromechanical inspection and supervision, chemical products inspection and supervision, chemical and mineral products inspection and supervision, animal quarantine and coal mine safety supervision and law enforcement are unqualified.
Article 14 The positions of food inspection supervision, cosmetics inspection supervision, animal and plant quarantine, medical inspection, health quarantine, chemical products inspection supervision and customs goods inspection 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 The positions of flight technical supervision of civil aviation in China shall be subject to the medical standards of Class I (except item 67.115(5)) or Class II medical certificate in the Administrative Rules on Medical Standards and Medical Certificate of Civil Aviation Personnel in China.
Article 17 For the position 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 (H.J. [2010] No.306) shall be implemented.
