论文部分内容阅读
目的了解噪声对作业工人血压的影响,为更好地加强管理,保护作业工人身心健康和为积极预防各类疾病的发生提供参考依据。方法将南通市2014年参加在岗期间职业健康检查的9 899名作业工人分为噪声接触与非噪声接触岗位,以听力损伤作为累计噪声暴露量的替代指标,对不同年龄和性别的工人高血压的发病情况进行对比研究。结果接触噪声的作业工人的高血压患病率(18.57%)与非接触噪声的作业工人的高血压患病率(19.37%)差异无统计学意义(P>0.05)。以听力损伤为指标进行人口特征学分类后,有噪声所致的听力损伤者的高血压患病率明显高于听力正常的工人,其差异有统计学意义(P<0.001),但仅限于男性。对接噪的男性作业工人进行年龄分层后,进一步进行logistic回归分析发现,有噪声所致的听力损伤者的高血压患病风险增高仅出现在<35岁的年龄组(P=0.041,OR=1.113,95%CI:1.005~1.233),而在≥35岁的年龄组未发现这种相关性(P=0.071,OR=1.055,95%CI:0.995~1.119)。女性作业工人中未发现相关性。结论年轻作业工人中噪声致听力损伤与高血压有关,需重点关注。
Objective To understand the influence of noise on blood pressure of working workers and provide reference for better management, protection of workers’ physical and mental health and prevention of various diseases. Methods A total of 9 899 workers who participated in the occupational health examination in Nantong in 2014 were divided into noise-exposed and non-noise-exposed posts. Hearing impairment was used as a surrogate indicator of cumulative noise exposure. The data of workers with different ages and genders The incidence of comparative studies. Results The prevalence of hypertension (18.57%) in exposed workers was not significantly different from that in non-exposed workers (19.37%) (P> 0.05). After classifying the demographic characteristics by using hearing loss as an index, the prevalence of hypertension in the hearing-impaired people with noise was significantly higher than that in the normal hearing workers (P <0.001), but only in men . Logistic regression analysis showed that the increased risk of hypertension in hearing-impaired hearing-impaired adults only appeared in the age group <35 years (P = 0.041, OR = 1.113, 95% CI: 1.005-1.233), whereas no association was found in ≥35 years of age group (P = 0.071, OR = 1.055, 95% CI: 0.995-1.11). No correlation found in female workers. Conclusion The noise-induced hearing impairment among young workers is related to hypertension.