邢台市男性煤炭工人睡眠与肾功能异常的关系  

Association between abnormal renal function and sleep among male coal workers in Xingtai City

作　　者：王涵 秦盛 李庆林 薛超 赵海霞 张生奎 袁聚祥 WANG Han;QIN Sheng;LI Qing-lin;XUE Chao;ZHAO Hai-xia;ZHANG Sheng-kui;YUAN Ju-xiang(Department of Epidemiology and Health Statistics,School of Public Health,North China University of Technology,Tangshan 063210,China)

机构地区：[1]华北理工大学公共卫生学院流行病与卫生统计学系,唐山063210

出　　处：《中华疾病控制杂志》2021年第9期1067-1072,共6页Chinese Journal of Disease Control & Prevention

基　　金：国家重点研发计划(2016YFC0900605)。

摘　　要：目的探讨邢台市男性煤炭工人睡眠与肾功能异常之间的关系,为男性煤炭工人的肾脏疾病防治提供理论依据。方法采用现况研究,收集河北省邢台市2家煤炭公司的3774名井下男性煤炭工人的问卷和血生化指标等信息。采用多因素Logistic回归分析模型分析倒班、睡眠时长和失眠或睡眠评分与肾功能异常的关系。结果男性工人的肾功能异常检出率为5.3%,倒班、睡眠时长≤5 h、失眠的工人占比分别为63.2%、4.0%及10.0%。调整年龄、睡眠时长、倒班状态、失眠等因素后,多因素Logistic回归分析模型分析结果显示,现在倒班(OR=1.557,95%CI:1.078~2.250,P=0.018)、睡眠时长≤5 h(OR=1.886,95%CI:1.005~3.540,P=0.048)、有睡眠问题组(OR=1.810,95%CI:1.286~2.546,P=0.001)与肾功能异常的联系减弱,失眠与肾功能异常联系无统计学意义(P=0.279)。根据倒班状态进行分层分析,调整相关混杂因素后发现,现在倒班的煤炭工人肾功能异常患病风险随睡眠评分等级的增加而增加(P趋势=0.001)。结论每天睡眠时长≤5 h、现在倒班与男性煤炭工人肾功能异常独立相关,且睡眠问题越严重,肾功能异常的患病风险越高。Objective To explore the relationship between sleep duration,insomnia,shift work and kidney function among male coal workers in Xingtai City,and to provide a theoretical basis for the prevention and treatment of kidney diseases in male coal workers.Methods A cross-sectional study was uesd.Relevant information was collected through questionnaires and blood biochemical analysis.Mutiple Logistic regression model was used to explore the relationship between abnormal renal function and sleep,night shift work.Results The prevalence of abnormal renal function among male workers in coal enterprises was 5.3%.The proportion of individuals with night shift work,sleep duration≤5 h and insomnia were 63.2%,4.0%,and 10.0%respectively.After adjusting for age,sleep duration,shift work and and insomnia,the results of multivariate Logistic regression analysis model showed that the relationship between shift work(OR=1.557,95%CI:1.078-2.250,P=0.018),sleep duration≤5 h(OR=1.886,95%CI:1.005-3.540,P=0.048),group with sleep problems(OR=1.810,95%CI:1.286-2.546,P=0.001)and abnormal renal function was attenuated.The relationship between insomnia and abnormal renal function was not statistically significant(P=0.279).According to the stratified analysis of the shift work,after adjusting the related abnormal renal function among shift workers(Ptrend=0.001).Conclusions Sleep and shift work independently associate with abnormal renal function in male coal workers.The risk of abnormal kidney function increases with the severity of sleep problems.

关 键 词：睡眠时长 失眠 倒班 煤炭工人 肾功能异常 

分 类 号：R1812[医药卫生—流行病学] R135[医药卫生—公共卫生与预防医学]