手传振动对矿山凿岩工自觉症状影响  

Effects of hand-transmitted vibration on subjective symptoms in mine drilling workers

作　　者：严茂胜[1] 朱安纪 张丹英[1] 何智鹏 林瀚生 蔡鹏 谈畅可 陈青松[1,4] YAN Maosheng;ZHU Anji;ZHANG Danying;HE Zhipeng;LIN Hansheng;CAI Peng;TAN Changke;CHEN Qingsong(Guangdong Province Hospital for Occupational Disease Prevention and Treatment/Guangdong Provincial Key Laboratory of Occupational Disease Prevention and Treatment,Guangzhou,Guangdong 510300,China;不详)

机构地区：[1]广东省职业病防治院,广东省职业病防治重点实验室,广东广州510300 [2]湖北省保康县疾病预防控制中心,湖北保康441600 [3]南方医科大学,广东广州510515 [4]广东药科大学,广东广州510006

出　　处：《中国职业医学》2020年第2期168-171,共4页China Occupational Medicine

基　　金：广东省自然科学基金(2018A030313955);广东省医学科研基金(A2018360,A2019388);广东省中医药局科研项目(20202028);广东省职业病防治重点实验室(2017B030314152);广州市科技计划项目(201804010099);海珠区科技计划项目(海科工商信计2018-90)。

摘　　要：目的调查手传振动对凿岩工自觉症状的影响。方法采用判断抽样方法,以从事手传振动作业的117名矿山凿岩工为接触组,以46名非职业性手传振动作业人员为对照组,采用《矿山作业工人职业流行病学调查问卷》对其进行自觉症状调查。结果接触组人群耳鸣、听力下降、咳嗽、咯痰等症状的检出率均高于对照组(P<0.05);接触组人群手部麻木、刺痛、自述白指、手冷等症状的检出率均高于对照组(P<0.05)。接触组人群手部自觉症状总检出率高于对照组(38.5%vs 21.7%,P<0.05)。多因素Logistic回归分析结果显示,手传振动作业和手传振动作业工龄均是矿山工人罹患手部自觉症状的影响因素(P<0.05)。结论职业性手传振动接触可对矿山凿岩工的手部自觉症状产生影响,作业工龄是协同影响因素。Objective To investigate the effect of hand-transmitted vibration on the subjective symptoms of mine drilling workers.Methods A total of 117 mine drilling workers exposed to hand-transmitted vibration were selected as the exposure group,and 46 workers without hand-transmitted vibration exposure were selected as control group by judgment sampling method.The Occupational Epidemiology Questionnaire of Mine Drilling Workers was used to investigate their subjective symptoms.Results The prevalence of tinnitus,hearing loss,cough and sputum in the exposure group was higher than that in the control group(P<0.05).The occurrence rate of numbness,tingling,self-reported white fingers and cold hands in the exposure group was higher than that in the control group(P<0.05).The total rate of symptoms of hand in the exposure group was higher than that in the control group(38.5%vs 21.7%,P<0.05).The multivariate logistic regression analysis results indicated that hand-transmitted vibration exposure and service length were risk factors of abnormal hand symptoms(P<0.05).Conclusion Occupational hand-transmitted vibration exposure can affect the hand subjective symptoms of mine drilling workers,and the length of service is a synergistic influencing factor.

关 键 词：手传振动 凿岩工 手部 自觉症状 影响因素 

分 类 号：R135.4[医药卫生—劳动卫生]