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目的 探讨漆包线企业作业工人职业接触相关血常规异常发生情况及危险因素,为防治职业病提供建议.方法 通过健康检查和问卷调查对铜陵市两家漆包线企业的416名员工进行调查,采用单因素分析结合多因素logistic逐步回归探讨漆包线作业工人发生职业接触相关血常规异常的危险因素.结果多因素logistic逐步回归分析显示,漆包线企业作业工人年龄每增加1岁,其发生血常规异常的OR值为1.08,95％CI为1.01～1.15;相对于男性员工,女性员工发生血常规异常的OR值为3.52,95％CI为1.78～6.97;相对于非噪声作业环境,噪声作业环境作业工人发生血常规异常的OR值为2.41,95％CI为1.23～4.72;相对于辅助工种,漆包工及清洁工发生血常规异常的OR值为3.11,95％CI为1.37～7.09;差异均有统计学意义(P<0.05).结论 年龄增长、女性、接触职业病危害因素概率和噪声作业环境是职业接触相关血常规异常的重要危险因素.“,”Objective To explore the occurrence and related risk factors of blood routine abnormalities due to occupational exposure in enameled wire enterprises, provide measures to prevent and control occupational diseases. Methods Questionnaire and occupational health examination were performed to analyze the related risk factors of the blood routine abnormalities in 416 enameled wire workers,multifactorial logistic stepwise regression analysis was used to explore influence factors. Results The results of multiple logistic analysis showed that occupation abnormalities were significantly affected by age, sex, noise, and occupational exposure(P < 0.05 ). The OR for the blood routine abnormalities was 1.08 (95％CI : 1.01 -1.15)with increased one working year;that for female was 3.52 (95％C : 1.78 - 6.97 )compared to male;that for exposure to noise was 2.41(95％CI :1.23-4.72)compared to no noise exposure;that for enameled wire workers and cleaners was 3.11 (95％ CI : 1.37 - 7.09 )compared to backmen. Conclusions Age, female,occupational exposure and noise are important factors affecting the blood routine abnormalities in the enameled wire enterprises.