燃煤电厂作业人员职业应激与糖脂代谢关系

发布时间：2018-03-08 12:13

本文选题：职业应激　切入点：电厂　出处：《中国职业医学》2015年04期 　论文类型：期刊论文

【摘要】：目的探讨燃煤电厂作业人员职业应激与糖脂代谢水平的关系。方法采用整群抽样方法,选择8家燃煤电厂525名作业人员为研究对象,采用《职业紧张量表》调查作业人员的职业应激水平,采集作业人员肘静脉血测定血糖(GLU)和血脂水平。结果 GLU和低密度脂蛋白(LDL)水平均分别与职业任务分量表(ORQ)、紧张反应分量表得分呈正相关(P0.01);GLU和TG水平分别与应对资源分量表得分呈负相关(P0.01)。525名作业人员以及其中的238名管理人员中,其GLU和LDL水平均呈现随着职业应激水平增高而增高的剂量-效应关系(P0.05);相较于职业应激低和中水平组,职业应激高水平组的总胆固醇和甘油三酯(TG)水平均升高(P0.05),高密度脂蛋白水平下降(P0.05)。287名生产人员中,其GLU水平有随着职业应激水平增高而增高的剂量-效应关系(P0.05),职业应激高水平组LDL和TG水平均分别高于职业应激低、中水平组(P0.05)。结论燃煤电厂作业人员职业应激与糖脂代谢水平之间存在相关性;职业应激水平越高,对糖脂代谢影响越明显。
[Abstract]:Objective to explore the relationship between occupational stress and glucose and lipid metabolism level in coal-fired power plant workers. Methods 525 workers from 8 coal-fired power plants were selected by cluster sampling method. Occupational stress scale was used to investigate the occupational stress level of workers. Results the blood glucose (GLU) and blood lipids were measured in the elbow vein blood of the workers. Results the levels of GLU and LDLL were positively correlated with the scores of the occupational task subscale and the stress response subscale, and the levels of GLU and TG were positively correlated with the coping. The score of resource subscale was negatively correlated with P0.01. 525 operators and 238 managers. The levels of GLU and LDL both showed a dose-effect relationship with the increase of the level of occupational stress, compared with the low and moderate levels of occupational stress, The levels of total cholesterol and triglyceride TGin in the high level group of occupational stress were all increased, and the level of high density lipoprotein (HDL) was decreased among the total cholesterol and triglyceride TGs of 287 workers. The level of GLU increased with the increase of occupational stress (P 0.05). The levels of LDL and TG in the high level of occupational stress were higher than those in the low level of occupational stress, respectively. Conclusion there is a correlation between the level of glucose and lipid metabolism and the higher the level of occupational stress, the more obvious the effect on the metabolism of glucose and lipid.
【作者单位】：广东省职业病防治院;中山大学附属孙逸仙纪念医院;
【基金】：广东省职业病防治重点实验室(2012A061400007) 广东省科技计划项目(2011B031900005,2013B021800177)
【分类号】：R131

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