接触噪声、高温和倒班与男性钢铁工人正常高值血压发生和高血压患病的关系

发布时间：2018-01-25 04:34

本文关键词： 男性钢铁工人高血压正常高值血压噪声高温倒班　出处：《环境与职业医学》2017年09期 　论文类型：期刊论文

【摘要】：[目的]了解男性钢铁工人正常高值血压、高血压检出现状,分析接触噪声、高温和倒班对男性钢铁工人正常高值血压发生和高血压患病的影响。[方法]以唐山某钢铁集团2015年9月—2016年7月进行职业健康检查的全部男性在职职工为调查对象,进行问卷调查和体格检查,采用多因素无序多分类logistic回归模型,分析接触噪声、高温和倒班对男性钢铁工人正常高值血压发生和高血压患病的影响。[结果]本次调查共纳入研究对象7 587人,男性钢铁工人正常高值血压检出率为42.9%,高血压患病率为32.8%。接触噪声、高温和倒班的男性钢铁工人血压分布不全相同(P0.001)。调整年龄、工龄、民族、婚姻状况、文化程度、家庭人均月收入、体质量指数、高血压家族史、吸烟、饮酒、食盐程度、体育锻炼等因素后,多因素无序多分类logistic回归分析结果显示:分别以从不接触噪声、高温和倒班的男性钢铁工人为参照,现在接触噪声、高温和倒班的男性钢铁工人正常高值血压发生风险,即OR及其95%CI值分别为从不接触者的1.27(1.12~1.44)倍、1.22(1.07~1.39)倍、1.20(1.03~1.40)倍,高血压患病风险(OR及其95%CI)分别为从不接触者的1.29(1.12~1.49)倍、1.34(1.16~1.56)倍和1.28(1.08~1.53)倍;曾经倒班的男性钢铁工人正常高值血压发生、高血压患病风险分别是从不倒班者的1.26(1.03~1.55)倍和1.36(1.09~1.71)倍;曾经接触高温的男性钢铁工人高血压患病风险是从不接触者的1.87(1.37~2.56)倍;曾经接触噪声者正常高值血压发生风险是从不接触者的1.56(1.11~2.20)倍。[结论]接触噪声、高温和倒班的男性钢铁工人正常高值血压的发生和高血压患病风险均高于不接触者。
[Abstract]:[Objective] to investigate the normal high blood pressure and the detection of hypertension in male steel workers, and to analyze the effects of exposure noise, high temperature and shift shift on the occurrence of normal high blood pressure and the prevalence of hypertension in male steel workers. [Methods] A questionnaire survey and physical examination were conducted among all the male in-service workers in Tangshan Iron and Steel Group from September 2015 to July 2016. The effects of exposure noise, high temperature and shift shift on the occurrence of normal high blood pressure and hypertension in male steel workers were analyzed by multivariate disordered multiple classification logistic regression model. [Results: a total of 7 587 subjects were included in this study. The positive rate of normal high blood pressure in male steel workers was 42.9, and the prevalence of hypertension was 32.8. The blood pressure distribution of male steel workers with high temperature and shift work was not all the same (P 0.001). Adjusted age, length of service, nationality, marital status, education level, monthly income per family, body mass index. After family history of hypertension, smoking, drinking, salt degree, physical exercise and other factors, multivariate disorder multiple classification logistic regression analysis showed that: no exposure to noise. High temperature and shift male steel workers are now exposed to noise, heat and shift male steel workers for normal high blood pressure risk. The OR and 95 CI values were 1.27 / 1.121.44) times and 1.22 / 1.07 / 1.39 times of those of the non-contact persons, respectively. The risk of hypertension and its 95 CI were 1.29 / 1.121.49) times of those who had never been in contact with each other. 1.34, 1.16, 1.56) and 1.28, 1.08, 1.53) times; The normal high blood pressure occurred in the male steel workers who had been working shift, the risk of hypertension was 1.261.03 (1.55) times and 1.71times (1.361.09 / 1.71), respectively. Male steel workers exposed to high temperature had a higher risk of hypertension than those who had never been exposed to high temperature, and the risk of hypertension was 2.56 times higher than that of those who had never been exposed to high temperature. The risk of normal high blood pressure in those who had been exposed to noise was 1.56 ~ 1.11 ~ 2.20 times higher than that in those who had never been exposed to noise. [Conclusion: the incidence of normal high blood pressure and the risk of hypertension in male steel workers exposed to noise, high temperature and shift shift were higher than those of non exposed workers.
【作者单位】：华北理工大学公共卫生学院河北省煤炭职业卫生与安全实验室;唐山弘慈医院体检科;
【基金】：河北省科技计划项目(编号:132777090) 河北省自然科学基金(编号:H2016209058) 国家重点研发计划专项基金(编号:2016YFC0900605)
【分类号】：R131
【正文快照】： ·作者声明本文无实际或潜在的利益冲突。[方法]以唐山某钢铁集团2015年9月—2016年7月进行职业健康检查的全部男性在职职工为调查对象,进行问卷调查和体格检查,采用多因素无序多分类logistic回归模型,分析接触噪声、高温和倒班对男性钢铁工人正常高值血压发生和高血压患病的

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