强噪声作业患精神障碍的危险因素分析  

The Risk Factos of Psychological Impediment to Workers Exposed to High-Level Noise.

作　　者：李刚 龙云芳[2] 詹承烈[2] 李昌吉[2] 王文静[2] 周爱平 

机构地区：[1]深圳市龙岗区卫生防疫站,中国广东深圳518172 [2]华西医科大学附属第四医院劳动卫生学教研室 [3]四川省成都市第一精神病防治院

出　　处：《实用预防医学》2002年第5期462-464,共3页Practical Preventive Medicine

摘　　要：目的　评价噪声接触者发生精神障碍的原因。　方法　以 1976～ 1996年队列研究厂内接触强噪声工人发生的经市级以上医院确诊的精神病性精神障碍患者 5 1名为观察组 ,随机选择接触强噪声的正常职工 180名为对照组 ,收集两组与精神障碍发病有关的因素 ,采用控制混杂因素的非条件 L ogistic回归模型进行分析。　结果　社会支持系统、性格、是否经历过重大挫折、精神障碍家族史、睡眠、性别等 6个因素具有显著性 (P<0 .0 1)。　结论　社会支持系统差、性格内向、经历过重大挫折、有精神障碍家族史、睡眠差、男性性别为接噪人群患精神障碍的危险因素。Objective To study the risk factors that cause psychological impediment to workers exposed to high-level noise(HLN). Methods 51 mental-disorder patients and 180 normal workers who had been exposed to the same HLN in 1976~1996 were respectively selected as observed group and control group. Retrospective cohort study was used in the selection. Logistic regression module was adopted to study the data. Result The result showed that the significant risk factors were social support system, individual personality, experience of setback, family psycho history, sleep and gender. Conclusion The present results suggests that risk factors of psychological impediment workers exposed to high-level noise (HLN)are bad social support system, introversive personality, experience of suffering heavy setback, of family psycho history, bad sleep and gender.

关 键 词：强噪声作业 精神障碍 危险因素 病例对照研究 

分 类 号：R131[医药卫生—劳动卫生] TB53[医药卫生—公共卫生与预防医学]