噪声暴露对某汽车灯具生产公司员工血糖和血脂水平的影响  

Effects of noise exposure on blood glucose and lipid levels of workers in an automotive lighting company

作　　者：池浩芳 路浚齐 曾文锋[1] 吴珊 CHI Haofang;LU Junqi;ZENG Wenfeng;WU Shan(Occupational Health Surveillance Center of Guangzhou Hospital for Prevention and Treatment of Occupational Disease,Guangzhou,Guangdong 510620,China;Yuexiu Distract Center for Disease Prevention and Control,Guangzhou,Guangdong 510030,China;Engineering Technology Research Center for Public Health Measurement and Evaluation of Guangdong Province,Guangdong Pharmaceutical University,Guangzhou,Guangdong 510310,China;School of Public Health,Guangzhou Pharmaceutical University,Guangzhou,Guangdong 510310,China)

机构地区：[1]广州市职业病防治院职业健康监护中心,广东广州510620 [2]广州市越秀区疾病预防控制中心,广东广州510030 [3]广东药科大学广东省公共卫生检测与评价工程技术研究中心,广东广州510310 [4]广东药科大学公共卫生学院,广东广州510310

出　　处：《职业卫生与应急救援》2020年第4期369-372,共4页Occupational Health and Emergency Rescue

基　　金：广东省基础与应用基础研究基金(2019A1515110656)。

摘　　要：目的探讨某汽车灯具生产公司生产性噪声接触对作业人员健康的影响。方法选取2018年6—12月某汽车灯具生产公司400名单纯接触噪声的作业人员作为噪声接触组,同公司不接触职业病危害因素的200名员工作为对照组,分析、比较两组职工的血糖和血脂等健康检查结果。结果36个作业岗位8 h等效A声级测量值范围为65.4~95.8 dB(A),平均(81.00±6.86)dB(A),噪声岗位超标率13.89%(9/36)。噪声接触组的收缩压、舒张压、血糖、总胆固醇、高密度脂蛋白、低密度脂蛋白、尿素氮、肌酐和尿酸的水平均高于对照组,差异有统计学意义(P<0.05);噪声接触组的血糖、高密度脂蛋白和低密度脂蛋白的异常发生率均明显升高,差异有统计学意义(P<0.05);噪声接触组总胆固醇、低密度脂蛋白的异常率有随工龄增加而升高的趋势(P<0.05)。结论长期接触生产性噪声对汽车灯具生产公司工人的血糖、血脂有一定的影响。Objective To investigate the impact of productive noise exposure on the health status of workers in an automotive lighting company.Methods A total of 400 noise-exposed workers in an automotive lighting company from June to December 2018 were selected as study group,and 200 employees without any exposure to occupational hazards in the same company served as the control group.The health examination results,including blood glucose and lipid,were analyzed and compared between these two groups.Results The 8 h equivalent A-level in 36 noise working posts was 65.4 to 95.8 dB(A),with an average of(81.00±6.86)dB(A).The non-compliance was 13.89%(9/36).The levels of systolic blood pressure,diastolic blood pressure,blood glucose,total cholesterol,high density lipoprotein,low density lipoprotein,urea nitrogen,creatinine and uric acid of noise-exposed workers were higher than the workers in the control group,and the differences were statistically significant(P<0.05).The abnormal rate of blood glucose,high density lipoprotein and low density lipoprotein of the noiseexposed workers increased significantly(P<0.05).With the increment of working time,the abnormal rates of total cholesterol and low-density lipoprotein were significantly increased in the noise-exposed workers(P<0.05).Conclusion There are certain adverse effects of noise exposure on workers’blood sugar and lipids in automotive lighting company.

关 键 词：噪声 职业健康检查 血糖 血脂 汽车灯具 

分 类 号：R135.8[医药卫生—劳动卫生]