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目的对某铁路局537名高原作业乘务人员的职业健康监护结果进行总结,为职业防护提供依据。方法依据GBZ 188-2007《职业健康监护技术规范》的要求,对537名高原作业人员进行职业健康检查,并对结果进行汇总分析。结果检出目标疾病80人,占受检总人数的14.9%。其中血压异常者47人,肺功能异常者32人,心电图异常者2人,血红蛋白增高者5人;不同年龄高血压检出率差异有统计学意义(P<0.05);不同工龄肺功能异常检出率差异有统计学意义(P<0.05);不同工种高血压检出率差异有统计学意义(P<0.05)。结论长期从事高原作业会对肺功能产生负面影响;应加强上岗前职业健康检查力度,加强对女性高原作业人群的职业防护,加强餐车服务人员的血压控制。
Objective To summarize the occupational health monitoring results of 537 plateau crew members in a railway bureau, and provide the basis for occupational protection. Methods According to GBZ 188-2007 “Occupational Health Monitoring Technical Specifications” requirements, 537 plateau workers occupational health examination, and the results were summarized. Results The target disease was detected 80 people, accounting for 14.9% of the total number of subjects examined. There were 47 cases of abnormal blood pressure, 32 cases of abnormal pulmonary function, 2 cases of abnormal electrocardiogram and 5 cases of increased hemoglobin. The detection rate of hypertension at different ages was statistically significant (P <0.05) There were significant differences in the rates of hypertension (P <0.05). There was significant difference in the detection rate of hypertension among different trades (P <0.05). Conclusion Long-term altitude work will have a negative impact on lung function. Pre-appointment occupational health checkups should be strengthened to enhance occupational protection for female plateau occupiers and to enhance the blood pressure control of car service staff.