天津市警察人群职业紧张与颈动脉粥样硬化相关性的研究  

Study on the relationship between occupational stress and carotid atherosclerosis in police population of Tianjin City

作　　者：岳松[1] 刘雯[1] 张涛[1] 韩媛[1] 徐静[1] 岳雅洁 Yue Song;Liu Wen;Zhang Tao;Han Yuan;Xu Jing;Yue Yajie(Department of Physical Examination,Tianjin Public Security Hospital,Tianjin 300042,China)

机构地区：[1]天津市公安医院物检科,300042

出　　处：《国际生物医学工程杂志》2020年第1期55-59,共5页International Journal of Biomedical Engineering

基　　金：天津市科技支撑计划重点项目(10ZCKYSF00600)。

摘　　要：目的探讨天津市警察人群职业紧张和颈动脉粥样硬化(CAS)的关系。方法选择来天津市公安医院体检及就诊的866例男性民警为调查对象,采用统一设计的健康调查问卷和职业紧张量统计表进行流行病学调查,测量血压,检验血糖和血脂等,同时做颈动脉超声检查,采用多因素非条件Logistic回归模型进行统计分析。结果依照安全服务人员职业紧张常模、职业任务与个体紧张的分级标准,职业紧张程度分为缺乏、适度、中度和高度。民警人群中职业紧张程度呈高度和中度的,其形成CAS的可能性是缺乏紧张民警的4.37倍(95%CI:1.92~11.59)和3.28倍(95%CI:1.84~5.62);适度缺乏和很强应对组的民警其形成CAS的可能性是高度缺乏民警的0.19倍(95%CI:0.06~0.32)和0.26倍(95%CI:0.07~0.53)。结论职业紧张可能为警察人群CAS形成的独立危险因素,因此定期进行心理疏导,以缓解警察人群的职业紧张及减轻心理压力,对其身心健康尤为重要。Objective To understand the relationship between occupational stress and carotid atherosclerosis in police population of Tianjin City.Methods A total of 866 male police officers who underwent medical examination and treatment were selected as the survey object.A uniformly designed health questionnaire and occupational stress scale were used for epidemiological investigation.The blood pressure,blood sugar and blood lipid testing,and carotid ultrasound examination were conducted.Multi-factor unconditional logistic regression model was used for statistical analysis.Results According to the norms of occupational stress of security service personnel,the classification standards of occupational tasks and individual nervous,occupational stress levels were divided into low,moderate,medium and high level.The possibility of occurring CAS in the civilian police population with high and medium individual nervous is 4.37(95%CI:1.92~11.59)and 3.28 times(95%CI:1.84~5.62)than that in the police without nervous.The possibility of occurring CAS in the civilian police population with medium and high level of occupational tasks is 0.19 times(95%CI:0.06~0.32)and 0.26 times(95%CI:0.07~0.53)than that in the police with low level of occupational tasks.Conclusions Occupational stress may be an independent risk factor for CAS occurring in the police population.Therefore,regular psychological counseling is particularly important for the physical and mental health of the police population,which can alleviate occupational stress and psychological pressure.

关 键 词：警察 职业紧张 颈动脉粥样硬化 

分 类 号：R135[医药卫生—劳动卫生]