福州口岸海船船员高血压危害因素的研究  

Research on the risk factors of seafarers' hypertension at Fuzhou port

作　　者：杨立[1] 陈惠雯[2] 刘敏[1] 张述铿[1] 

机构地区：[1]福建国际旅行卫生保健中心,福建福州350001 [2]福建医科大学公共卫生学院

出　　处：《中国国境卫生检疫杂志》2015年第5期313-316,共4页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的了解海船船员与其他人群高血压患病率是否存在差异,找出海船船员罹患高血压的主要危险因素。方法回顾性分析2013—2014年在福建国际旅行卫生保健中心进行健康体检的海船船员、劳务人员和商务人员各400名的体检资料,研究年龄、体重指数、精神心理卫生、肝功能情况、甘油三酯等指标,用SPSS18.0进行方差分析、卡方检验、Logistic分析。结果海船船员、劳务人员和商务人员的高血压检出率分别为59.3%、41.5%、45.8%,差异均有统计学意义(P<0.01);海船船员的心理测评分(即强迫P1、抑郁P2、偏执P3)与劳务人员和商务人员比较,差异有统计学(P<0.05)。除总胆固醇外,影响海船船员高血压的危害因素依次为肝功能、甘油三酯、血糖、年龄、体重指数、强迫、偏执、抑郁Exp(B)均大于1,差异均有统计学意义(P<0.05);乙肝表面抗原携带情况Exp(B)虽大于1,但差异无统计学意义(P>0.05),。总胆固醇优势比Exp(B)小于1,不构成危害因素。结论本次研究发现肝功能、强迫、抑郁是影响海船船员高血压的主要危险因素,其次为甘油三酯、血糖水平;年龄、身高体重不是影响船员高血压的主要因素。Objective To know the differences between seafarers and other groups persons on the hypertension prevalence, as well as to find out the risk factors, especially attention to effects of mental health on the high blood pressure. Methods The check-up results of three kinds entry-exit personnel including seafarers, labor service and business personnel, were collected by random method from 2013.01.01 to 2014.12.31, every kind persons 400 case respectively. Hypertension risk factors such as age, body mass index（BMI）, mental health, liver function,triglycerides and so on were researched, retrospective analysis method and SPSS18.0 were applied for the analysis of variance, chi-square, Logistic analysis. Results Seafarers and labor service and business personnel of hypertension prevalence rate are 59.3%, 41.5% and 45.8% respectively, the difference had statistical significance（P〈0.01）,Seafarers hypertension prevalence rate is highest. The mental measurement points of seafarers,including force（P1）,depression（P2）, paranoia（P3）,comparing with labor services and business people have statistical difference（P〈0.05）.In addition to the total cholesterol, the main harmful factors affecting the vessel crew ＇s high blood pressure, which the order as liver function, triglyceride, blood glucose, age, body mass index, force, paranoid, depression Exp（B） all are greater than 1,（P〈0.05 all have statistical significance）; and hepatitis B surface antigen carriers（P〉0.05）, but Exp（B） of total cholesterol levels is less than 1,（P〈0.05）. Conclusion This study have found that liver function, force, depression is the main risk factors affecting the vessel crew hypertension, followed by triglyceride, blood glucose levels. Age, body mass index（BMI） and Hepatitis B surface antigen positive are not the main factors influencing the crew to high blood pressure.

关 键 词：海船船员 高血压 

分 类 号：R544.1[医药卫生—心血管疾病]