肥东地区职工职业健康体检心电图结果分析  

Analysis of electrocardiogram results of occupational health examination of employees in Feidong region

作　　者：宣梅 金声 郑文劢 李亮亮 陈晓明 XUAN Mei;JIN Sheng;ZHENG Wenmai;LI Liangliang;CHEN Xiaoming(Dongcheng Hospital,the First Affiliated Hospital of Anhui Medical University(Feidong County People's Hospital),Hefei 231600,China;Feidong Hospital of Traditional Chinese Medicine)

机构地区：[1]安徽医科大学第一附属医院东城院区(肥东县人民医院),安徽合肥231600 [2]安徽省肥东县中医院

出　　处：《华南预防医学》2024年第6期506-510,共5页South China Journal of Preventive Medicine

基　　金：合肥市卫生健康委2022年度应用医学研究项目(Hwk2022zc041)。

摘　　要：目的 分析职工职业健康体检心电图结果并探讨心电图异常的相关因素,为开展心血管疾病预防提供依据。方法 采用方便抽样法选择2022年1—12月在肥东县1家二级医院(肥东县中医院)和1家三级医院(肥东县人民医院)进行健康体检的职工作为调查对象,收集调查对象的心电图检查报告、体检结果、实验室指标,同时进行问卷调查,采用描述性分析方法对该人群心电图异常情况进行分析,并采用单、多因素分析方法对异常检出的相关因素进行分析。结果 参与本研究者共10 828人,其中男性5 848人,占54.01%,女性4 980人,占45.99%。共收集心电图10 828份,检出异常心电图1 458份,检出率为13.47%。单因素结果显示,年龄、医院等级、吸烟、酗酒、高血压、高血糖、高血脂、BMI、健康饮食、运动情况、工作年限、工作时间、工作应激与职工心电图异常有关(均P<0.01);多因素logistic回归分析结果显示,年龄(50~60岁OR=4.604)、吸烟(OR=4.154)、酗酒(OR=3.725)、高血压(OR=2.433)、BMI(超重/肥胖OR=3.747)、运动情况(充足OR=0.232)、工作年限(≥31年OR=6.197)、工作时间(OR=4.595)、工作应激(OR=4.513)均是职工心电图异常检出的相关因素。结论 肥东地区职工异常心电图检出率较高,与年龄、吸烟等因素相关,定期体检和针对性的健康管理对此类人群预防心血管疾病有积极作用。Objective To analyze the electrocardiogram results of occupational health examination for employees and explore the related factors of abnormal electrocardiogram,in order to provide a basis for preventing cardiovascular disease.Methods From January to December 2022,convenience sampling was used to select employees who underwent health examination in one secondary hospital(Feidong Hospital of Traditional Chinese Medicine) and one tertiary hospitals(Feidong County People's Hospital) in Feidong County for this study.The electrocardiogram examination reports,physical examination results,and laboratory indicators of the respondents were collected,and a questionnaire survey was conducted.The descriptive analysis method was used to analyze the abnormal situation of electrocardiogram in this population,and the univariate and multivariate analysis methods were used to analyze the related factors.Results A total of 10828 employees participated in this study,including 5 848 males(54.01%) and 4 980 females(45.99%).A total of 10 828electrocardiograms were recorded,and 1 458 abnormal electrocardiograms were detected,with a detection rate of 13.47%.The results of univariate analysis showed that age,hospital grade,smoking,alcoholism,hypertension,hyperglycemia,hyperlipidemia,BMI,healthy diet,exercise,working years,working hours,and work stress were associated with abnormal electrocardiogram of employees(all P<0.01).The results of multivariate logistic regression analysis showed that age(OR=4.604for 50-60 years old),smoking(OR=4.154),alcoholism(OR=3.725),hypertension(OR=2.433),BMI(OR=3.747 for overweight/obesity),exercise(OR=0.232 for sufficient exercise),working years(OR=6.197 for ≥31 years),working hours(OR=4.595),and work stress(OR=4.513) were all influencing factors for abnormal electrocardiogram in employees.Conclusions In Feidong region,the abnormal electrocardiogram detection rate is high in employees,which is related to age,smoking,and other factors.Regular physical examination and targeted health management have a posit

关 键 词：健康体检 心电图 职工 心律失常 相关因素 

分 类 号：R135[医药卫生—劳动卫生]