某金矿企业职业健康检查结果分析  

Analysis of occupational health examination results of a gold mining enterprise

作　　者：李浩 朴洙勇 杨煜[3] 杨湘山[4] 陈大伟[4] LI Hao;PIAO Zhu-yong;YANG Yu;YANG Xiang-shan;CHEN Da-wei(Department of Occupational and Environmental Health,School of Public Health,Jilin University,Changchun,Jilin 130021,China)

机构地区：[1]吉林大学公共卫生学院劳动卫生与环境卫生教研室,吉林长春130021 [2]吉林省辐射环境监测站 [3]吉林大学基础医学院 [4]吉林大学公共卫生学院辐射防护教研室,吉林长春130021

出　　处：《工业卫生与职业病》2022年第1期5-9,共5页Industrial Health and Occupational Diseases

基　　金：复旦大学附属中山医院放射诊疗建设项目(3R219F143427)。

摘　　要：目的了解某金矿作业矿工的健康状况,为改善金矿工人健康水平以及有针对性地制定有效保障金矿作业矿工健康的防治措施提供科学依据。方法收集某金矿577名矿工职业健康体检数据,对体检结果进行分析与评价。结果高血压检出率为41.9%(242/577),高血糖检出率为12.8%(74/577),心率异常检出率为24.6%(124/577),肝功能异常检出率为28.1%(162/577)。且该金矿职工的高血压、高血糖检出率随年龄的增加呈现上升趋势,差异均有统计学意义(P<0.05)。结果显示,女性发生高血压的危险性是男性的0.502倍,从事地下采掘工作者是从事地面工作者的2.353倍(P<0.05);不同作业年限、工种的金矿职工高血糖检出率比较,差异有统计学意义(P<0.05),从事地下采掘和其他工作者高血糖检出率明显高于地面工作者(P<0.05)。心率异常可能与粉尘接触和年龄有关,结果表明,暴露于地下粉尘因素者更易出现心率异常;随着年龄增加,心率异常检出率增加。肝功能异常与工作年限有关(P<0.05),其中≥30a工龄组肝功能异常检出风险是≤14a工龄组的1.683倍。结论该金矿工人血压,血糖,心率以及肝功能均存在异常,其危险因素可能为年龄,工作年限,性别以及工种等。Objective To understandthe health status of miners working in a gold mine,and to provide scientific basis for improving the health status of gold miners as well as for developing effective prevention and control measures to protect the health of gold miners.Methods The data of occupational health examination of 577miners were collected,and the results were analyzed and evaluated.Results The detection rate of hypertension was 41.9%(242/577),hyperglycemia 12.8%(74/577),abnormal heart rate 24.6%(124/577)and abnormal liver function 28.1%(162/577).Moreover,the detection rate of hypertension and hyperglycemia in the gold mine workers increased with age,and the difference was statistically significant(P<0.05).The analysis results showed that the risk of hypertension for women was 0.502times higher than that for men andthat for underground mining workers was 2.353times higher thanthat for surface mining workers(P<0.05).The detection rate of hyperglycemia for gold mine workers with different serviceyears and types of work was statistically significant(P<0.05),and the detection rate of hyperglycemia for underground mining and other workers was significantly higher than that for surface workers(P<0.05).Abnormal heart rate may be associated with dust exposure and age.The results showed that people exposed to dust were more likely to have abnormal heart rate.The detection rate of abnormal heart rate increased with age.Abnormal liver function was associated with years of work(P<0.05),and the risk of abnormal liver function in group≥30awas 1.683times higher than that in group≤14a.Conclusion Abnormality was detected in blood pressure,blood sugar,heart rate and liver function among the gold miners,and the risk factors may be age,serviceyears,genderand type of work.

关 键 词：金矿工人 高血压 高血糖 影响因素 

分 类 号：R194.3[医药卫生—卫生事业管理]