高温和噪声与571名某钢轧厂工人代谢综合征的关系研究  

Association between joint of heat and noise and metabolic syndrome in steel workers

作　　者：李雪[1] 王朝阳[2] 范红敏[1] 王晓凯[1] 张美航[1] 贾崇岩 柴峰[1] 陈银苹[1] 胡泊[1] 袁聚祥[1] 董亚楠[1] 王剑波[1] 

机构地区：[1]河北联合大学公共卫生学院河北省职业卫生与安全实验室,唐山063000 [2]唐山钢铁集团有限责任公司医院

出　　处：《卫生研究》2015年第1期77-81,90,共6页Journal of Hygiene Research

基　　金：河北省科技厅科技公关重点研究项目(No.13277709D)

摘　　要：目的分析高温、噪声和某钢轧厂工人代谢综合征（MS）的关系。方法采取整群抽样的方法选取唐山某钢轧厂工人590名,进行面对面问卷调查,调查内容包括个人基本资料、职业史、个人病史、生活习惯等信息,检测身高、体重、腰围、血压、血糖、血脂等指标。采用Epidata 3.0建库,SPSS 17.0进行统计分析。结果共调查钢轧厂工人571例（应答率为97%）,年龄为22~60岁,平均（41.2±7.9）岁,MS患病率为17.9%。高温作业工人MS的粗患病率为18.8%,比不接触者（5.3%）高,差异有统计学意义（P〈0.05）。噪声作业工人MS粗患病率为20.6%,高于不接触者（14.0%）,差异有统计学意义（P〈0.05）。在调整了混杂因素的影响后,同时暴露于高温、噪声者发生MS的危险性是不暴露者的1.118倍。结论高温和噪声的联合作用与钢轧厂工人MS患病率升高有关。Objective To analyze the relationship between joint of heat and noise, and metabolic syndrome in a steel rolling factory workers. Methods A total of 590 steel workers were selected as subjects by cluster sampling method from workers of a steel factory. They were investigated by face to face way with the unified questionnaire which contents included personal information, occupational history, personal history, habits and other factors. Furthermore, height, weight, waist circumference and blood pressure were measured. Referring to the 2005 International Diabetes Federation （IDF） issued by the metabolic syndrome （MS） worldwide uniform definition combines waist diagnosis MS. A database was built by Epidata 3.0 software, and data was analyzed by.SPSS 17. O. Results 571 steel workers were from 22 to 60 years, mean age （41.2 ＋7.9） years old. The prevalence of metabolic syndrome in steel workers was 17.9%. The prevalence of metabolic syndrome of those who exposed to high temperature was 18.8% , higher than that of those who did not expose to high temperature （5.3%） , there was a statistically significant difference （P 〈 0.05 ）. The prevalence of metabolic syndrome of those who exposed to noise was 20.6% , higher than that of those who did not exposed to noise （14.0%） （P 〈 0.05 ）. After adjusting for the effects of confounding factors, the prevalence of MS those who exposed to high temperatures and noise is 1. 118 times as high as that of those who did not exposed to high temperatures and noise. Conclusions The combined effects of heat and noise is related to the increasing prevalence of MS of steel workers.

关 键 词：高温 噪声 钢轧厂工人 代谢综合征 患病率 

分 类 号：R589[医药卫生—内分泌] R135.1[医药卫生—内科学]