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探讨上海冬季封闭性建筑物的办公室人员中是否存在大楼综合征 (SBS) ,以及基本的总体表现。 [方法 ]1997和 1998年冬季 ,在峻工 10年以内的 2 7幢办公楼及其内的 841名办公室工作人员中进行内容包括办公室一般情况、环境检测、个人一般情况、个人症状问询、以及个人医学检查的现况调查。 [结果 ]14项问询症状中有 8个症状的报告率超过了 15 % ,其中 4个超过了 30 % ;个人症状指数 (PSI)及个人 5项症状指数(5 PSI)平均值分别为 2 91和 1 96 ;眼和喉部粘膜刺激体征阳性率超过 30 % ;个体报告的症状与其相关的体征阳性之间的一致性不高 ,症状报告率中出现的性别差异得不到医学检查结果的支持 ,甚至出现相反的差异 ;办公室的某些总体状况 ,如禁烟措施、室内绿化和装修完成时间 2年以上显著降低了粘膜刺激体征阳性率和某些症状的报告率 ,但没有造成环境检测指标平均值的明显改变。 [结论 ]上海新建的封闭型建筑物的办公室人员中存在着SBS ,并突出表现在粘膜和中枢神经系统上。禁烟措施、室内绿化和装修完成时间 2年以上可明显改善SBS的表现。在SBS的流行病学研究中 ,必须高度重视客观的体征和测试 ,而不能单靠症状的报告。
Explore the presence or absence of building syndrome (SBS) among office workers in Shanghai’s winter enclosed buildings, as well as a general overview of the overall performance. [Methods] During the winter of 1997 and 1998, among 27 office buildings and 841 office workers within 10 years of completion, the contents include office general conditions, environmental tests, personal general conditions, personal symptoms, As well as personal medical examination of the status of the investigation. [Results] The report rate of 8 symptoms in more than 15 questionnaires exceeded 15%, of which 4 exceeded 30%. The average of personal symptom index (PSI) and personal 5 symptom index (5 PSI) were 2 91 and 1 96; the positive rate of eye and throat mucosal irritation signs more than 30%; the inconsistency between the individual reported symptoms and the signs associated with them is not high, the gender difference in the symptom report rate is not the result of medical examination Support, and even the opposite; some of the overall office conditions, such as smoking ban, indoor greening and finishing time of 2 years or more significantly reduced the positive rate of mucosal irritation signs and the reporting rate of certain symptoms, but did not cause environmental testing indicators Significant changes in the average. [Conclusion] The SBS exists in the office buildings of the newly-built closed buildings in Shanghai and is highlighted in the mucosa and the central nervous system. Non-smoking measures, indoor greening and finishing over 2 years can significantly improve SBS’s performance. Epidemiological studies in SBS must attach great importance to objective signs and tests, and can not rely on symptoms alone.