噪声作业工人听力损失与高血压、心电图异常关系

发布时间：2018-03-06 00:16

本文选题：噪声　切入点：听力损失　出处：《中国职业医学》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨噪声作业工人听力损失与高血压、心电图异常之间的关系。方法采用判断抽样法,以在广州市汽车制造企业从事噪声作业且发生听力损失的555名男性工人为听力损失组,以同企业555名听力正常的男性工人为对照组。对2组工人进行纯音听力测定、血压测量和心电图检查,分析听力损失与高血压、心电图异常之间的关系。结果听力损失组工人高血压患病率、心电图总异常率均高于对照组(P0.05)。多因素Logistic回归分析显示:在调整了年龄、工龄、体质指数和饮酒等混杂因素后,听力损失组工人患高血压的风险高于对照组(P0.05),比值比(OR)及其95%可信区间(CI)为2.255(1.093~4.655);在调整饮酒混杂因素后,听力损失组工人发生心电图异常的风险高于对照组(P0.05),OR(95%CI)为1.408(1.027~1.930)。结论噪声作业工人发生听力损失可增加患高血压和心电图异常的风险。
[Abstract]:Objective to investigate the relationship between hearing loss and hypertension and abnormal ECG in noise-exposed workers. 555 male workers who were engaged in noise work and suffered hearing loss in automobile manufacturing enterprises in Guangzhou were selected as hearing loss group and 555 male workers with normal hearing in the same enterprise as control group. The pure tone hearing was measured in two groups of workers. Blood pressure measurement and electrocardiogram examination were used to analyze the relationship between hearing loss and hypertension and abnormal electrocardiogram. The total abnormal rate of electrocardiogram was higher than that of the control group (P 0.05). Multivariate Logistic regression analysis showed that after adjusting for age, length of service, body mass index, alcohol consumption and other mixed factors, The risk of hypertension in the hearing loss group was higher than that in the control group (P 0.05), the ratio was higher than that in the control group (P < 0.05) and the confidence interval (CI) of 95% CI) was 2.2551.093 / 4.6550.After adjusting for the mixed factors of drinking, The risk of abnormal electrocardiogram in the hearing loss group was higher than that in the control group (P 0.05). The risk of hearing loss in the noise exposed workers was higher than that in the control group. Conclusion the risk of hypertension and abnormal electrocardiogram can be increased by hearing loss in noise-exposed workers.
【作者单位】：广州医科大学附属市十二人民医院;广州市职业病防治院;
【基金】：国家自然科学基金(81202179) 广东省自然科学基金(S2012040006490)
【分类号】：R135.8

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