噪声所致听力损失与高血压相关性的队列研究  

A cohort study on the effect of noise induced hearing loss on hypertension

作　　者：沈小琴 朱勇[2] SHEN Xiao-qing;ZHU Yong(General Medicine,Huacao Community Health Centre,Shanghai 201100,China;不详)

机构地区：[1]华漕社区卫生服务中心全科,上海201100 [2]江苏省疾病预防控制中心职业病防治所,江苏南京210028

出　　处：《工业卫生与职业病》2021年第1期8-10,共3页Industrial Health and Occupational Diseases

摘　　要：目的研究噪声对高血压发生发展的影响。方法采用噪声所致听力损失作为研究对象接触噪声的特异性暴露指标,对有或无高频听力损失者间高血压发生率的差异进行卡方检验,再利用非条件logistic回归对影响高血压的因素进行筛选。结果研究对象以男性为主,占92.8%,年龄为(43.14±7.47)岁,工龄为(10.73±2.56)a,高频听力损失者高血压的发生率明显高于无高频听力损失者(P=0.016)。但经非条件logistic回归模型对高血压危险因素筛选后发现,高血压的危险因素主要为性别(OR=1.233,P=0.007)、吸烟(OR=1.452,P=0.002)和饮酒(OR=1.098,P=0.009)。结论噪声并不是年龄较大、工龄较长者高血压发生的主要危险因素。Objective To study the effect of noise on the occurrence and development of hypertension.Methods The noise induced hearing loss as a specific exposure index was used for noise level,and chi-square test was used to detect the difference in incidence of hypertension between those with and without highfrequency hearing loss.Unconditional Logistic regression was used to analyze the factors affecting hypertension.Results Among the subjects males were accounted for 92.8%,the mean age was(43.14±7.47)years,and the mean of the service years was(10.73±2.56)a.The incidence of hypertension in highfrequency hearing loss patients was significantly higher than those without high-frequency hearing loss(P<0.05).The unconditional logistic regression model showed however,that the main risk factors of hypertension were gender(OR=1.233,P<0.05),smoking(OR=1.452,P<0.05)and drinking(OR=1.098,P<0.05).Conclusion Noise is not a major risk factor for hypertension in older and longer working people.

关 键 词：噪声 听力损失 高血压 队列研究 

分 类 号：R131[医药卫生—劳动卫生]