职业应激与动态血压参数的关系  

Effect of occupational stress on ambulatory blood pressure

作　　者：余善法[1] 周文慧[1] 姜开友[1] 邱英[1] 谷桂珍[1] 孟成名[1] 王生[2] 

机构地区：[1]河南省职业病防治研究所,郑州450052 [2]北京大学公共卫生学院劳动卫生与环境卫生学系

出　　处：《中华劳动卫生职业病杂志》2009年第12期711-715,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：河南省医学科技创新人才工程计划项目（2001-23,2004-62）

摘　　要：目的探讨职业应激与动态血压参数的关系。方法从填写了有效问卷的电冰箱厂装配线生产工人中随机选择30名无高血压等疾病史的健康男性作为研究对象，使用付出一回报失衡模式、工作内容问卷和职业应激测量工具等问卷进行职业应激测评，使用便携式动态血压监测仪进行动态血压测定。使用t检验和多元逐步回归分析职业应激相关因素对动态血压参数的影响。结果（1）职业应激因素中，角色冲突评分高者收缩压变异性、平均动脉压变异性和班后30min心率均高于评分低者，差异有统计学意义（P〈0．05）。技术利用评分高耆班后30min收缩压均值高于评分低者，决定自由度评分高者舒张压变异性和心率变异性均值高于评分低者，差异均有统计学意义（P〈0．05）。心理性工作需求评分高者收缩压变异性、舒张压变异性和平均动脉压变异性均高于评分低者，差异均有统计学意义（P〈0．05）。外在付出评分高者心率血压乘积和收缩压变异性均值均高于评分低者。回报评分低者心率均值和班后30min心率均值均高于评分低者。ERI高者班后30min舒张压和心率均值均高于ERI低者，差异均有统计学意义（P〈0．05或P〈0．01）。其余不同职业应激因素评分组间动态血压参数的差异均无统计学意义（P〉0．05）。（2）个性特征中，外控性评分高者舒张压均值和平均动脉压均值均低于评分低者。忍耐性评分高者班后30min收缩压均值低于评分低者，组织归属感评分高者班后30min心率均值低于评分低者，差异均有统计学意义（P〈0．01或P〈0．05）。其余不同个性特征评分组间动态血压参数的差异均无统计学意义（P〉0．05）。（3）应激缓解因素中，控制策略评分高者心率变异性均值低于评分低者，上级支持评分低者心率血压乘积和平均动脉压变异性均高于评分�Objective To explore the effect of occupational stress on ambulatory blood pressure. Methods 30 male healthy workers from the refrigerator assembly line in Henan province in China were investigated. Psychosocial work conditions were measured by using the Job Demand-control Model, the Effort-reward Imbalance Model questionnaires and Occupational Stress Measurement Scale. Ambulatory blood pressure（ABP） was measured by using mobile ABP monitor. The t test was utilized to analyze the difference of parameters of ABP monitoring between different groups of occupational stress and other variables scores.The stepwise regression analysis was used to analyse the effect of occupational stress factors on parameters of ABP. Results （1）As to stressors, systolic blood pressure variability（SBPV）, mean arterial blood pressure variability （MABPV） and heart rate at 30 minute after work in workers with high role conflict score were significantly higher than those in workers with low score （P〈O.05）. Workers with high skill utilization score had significantly lower mean systolic blood pressure （SBP） at 30 minute after work than workers with low score （P〈 0.05 ）. Diastolic blood pressure variability （DBPV） and heart rate variability （HRV） in workers with high decision latitude score were significantly higher than those in workers with low score （P〈0.05）. Workers with high job psychological demands score had significantly higher SBPV, DBPV and MABPV than workers with low score（P〈0.05）. Heart rate-pressure produet（RPP） and SBPV in workers with high effort score were significantly higher than those in workers with low score （P〈0.05）. Workers with low rewards score had higher mean heart rate and heart rate at 30 minute after work than workers with high score （P〈0.05）. （2）For personalities, workers with high work locus of control score had significantly higher mean diastolic blood pressure （DBP） and mean arterial blood pressure （MABP） than workers with low score

关 键 词：应激 血压 心率 问卷 

分 类 号：R686[医药卫生—骨科学]