工业噪声与慢性胃病的相关性研究  

Study on correlation between industrial noise exposure and chronic gastric disorders

作　　者：张维森 廖阳[1] 周浩[1] 何国权[1] 罗晓丽[1] 

机构地区：[1]广州市职业病防治院,广东广州510620

出　　处：《中国工业医学杂志》2011年第6期403-405,420,共4页Chinese Journal of Industrial Medicine

基　　金：广州市医疗卫生机构重点专科科研项目(2009-ZDi-07)

摘　　要：目的探讨噪声与作业工人慢性胃病的相关性。方法对广州6家制造业工厂693名作业工人的职业健康危害进行现况调查,将发现的38例慢性胃病现患者设为病例组,所有对象经性别、年龄排序后,按性别一致、年龄±1岁分组,在每个病例对应的组中,统一依次按隔位选1原则选取4名无现患者(1∶4配对),共152名工人为对照组,开展病例对照研究。相关性分析与评价采用卡方检验和条件Logistic回归分析。结果 (1)慢性胃病现患率男女基本一致,但随年龄的增加而增加(卡方趋势性检验P值=0.001);(2)病例组噪声接触率显著高于对照组,以接噪工龄≤5年者较为突出;(3)调整文化程度、吸烟、饮酒和其他职业接触等混杂因素后,噪声接触与患慢性胃病的危险性增加显著相关,接噪≤5年患慢性胃病的危险较明显。结论噪声接触可增加患慢性胃病危险。Objective To study the association of industrial noise exposure with chronic gastric disorders in workers in Guangzhou city.Methods Firstly,a cross sectional survey was performed,693 workers from 6 manufacturers in Guangzhou were examined,among them 38 cases of chronic gastric disorders were found as case group.All the objects were sorted according to gender and age,1∶4 match principle was used in the study that was 4 controls/1 case in each sub-group,therefore,152 controls were selected.Additionally,Chi-square test and multivariable conditional logistic regression model were used for the analysis and assessment of the association.Results（1） There was a similar prevalence of chronic gastric disorders in men and women,the prevalences increased with age（Pfor trend=0.001）.（2）The noise exposure prevalence was significantly higher in case group,the major proportion of exposure duration were≤5 years.（3）After adjusting the confounding factors such as education,smoking,drinking and other occupational exposure etc.the risk of chronic gastric disorders was obviously correlated to noise exposure,especially the exposure less than 5 years.Conclusion The results suggested that noise exposure may increase the risk of suffering from chronic gastric disorders.

关 键 词：工业噪声 慢性胃病 比数比 

分 类 号：TB53[理学—物理]