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目的分析铁路系统列车乘务员和机关干部高血压、高血脂、高血糖情况,以期为该系统人群提出有针对性的健康促进措施提供依据。方法采用整群抽样的方法选择郑州铁路局机务段年龄为20~55岁的男性乘务员510名和在段机关男性干部550名进行调查;采用氧化酶法测定血清甘油三酯、总胆固醇和空腹血糖。结果列车乘务员组和机关干部组不同年龄段高血压的检出率总体差异有统计学意义(χ2=6.86,P=0.03);机关干部组高血压、高血糖和高血脂检出率分别为35.64%、5.63%、45.09%,均明显高于机车乘务员组(分别为20.59%、2.15%、23.73%),差异均有统计学意义(P<0.01);机关干部的“三高”症检出率(3.81%)明显高于列车乘务员组(1.76%),差异有统计学意义(χ2=4.06,P=0.04)。结论铁路系统机关干部的“三高”症风险较列车乘务员高。
Objective To analyze the situation of hypertension, hyperlipidemia and hyperglycemia in railway flight attendants and cadres in order to provide a basis for the targeted population health promotion measures. Methods A total of 510 male attendants aged 20-55 years and 550 male cadres were enrolled in the locomotive depot of Zhengzhou Railway Administration. The serum triglyceride, total cholesterol and fasting blood glucose were determined by oxidase method. Results There was a significant difference in the detection rate of hypertension among train flight attendants and cadres at different ages (χ2 = 6.86, P = 0.03). The detection rates of hypertension, hyperglycemia and hyperlipidemia in cadres were 35.64 %, 5.63% and 45.09%, respectively, were significantly higher than that of locomotive crew (20.59%, 2.15% and 23.73% respectively), with significant differences (P <0.01) The detection rate (3.81%) was significantly higher than that of train crew (1.76%), the difference was statistically significant (χ2 = 4.06, P = 0.04). Conclusion The cadres in the railway system are at a higher risk of train accidents than train drivers.