目的了解职业机动车驾驶作业对作业工人身体健康的影响。方法选择2010—2013年在南通市疾病预防控制中心进行健康检查的职业机动车驾驶员128人作为接触组,另选某厂后勤人员126人作为对照组,对2组进行血压、血液生化、心电图、B超及五官科等检查。结果接触组高血压、窦性心律失常、ST-T段改变及脂肪肝的检出率明显高于对照组,差异有统计学意义(P<0.05);接触组血糖、甘油三酯及丙氨酸氨基转移酶的均值明显高于对照组,差异有统计学意义(P<0.05);高密度脂蛋白胆固醇和低密度脂蛋白胆固醇的均值明显低于对照组,差异有统计学意义(P<0.05);接触组视力下降、视网膜血管和视神经乳头病变及高频听力损伤的检出率明显高于对照组,差异有统计学意义(P<0.05)。结论职业机动车驾驶员作业可能会影响心血管和内分泌系统及视听觉功能。 Objective To understand the effects of driving a motor vehicle on the health of workers. Methods A total of 128 professional motor vehicle drivers were enrolled in the Nantong Center for Disease Control and Prevention from 2010 to 2013 as the contact group and another 126 logistics staff from the factory as the control group. Blood pressure, blood biochemistry, electrocardiogram , B and ENT and other tests. Results In the exposure group, the changes of hypertension, sinus arrhythmia, ST-T segment and the detection rate of fatty liver were significantly higher in the exposure group than those in the control group (P <0.05). The levels of blood glucose, triglycerides and ammonia The mean value of acid aminotransferase was significantly higher than that of the control group (P <0.05). The mean of high density lipoprotein cholesterol and low density lipoprotein cholesterol were significantly lower than those of the control group (P < 0.05). The detection rate of visual acuity, retinal vascular and optic nerve head lesion and high frequency hearing loss in the exposure group were significantly higher than those in the control group (P <0.05). Conclusion Occupational motor vehicle pilots may affect the cardiovascular and endocrine systems and audiovisual function.