CAJ | 학술논문

目的探讨噪声与血压、高血压的相关性及其年龄别特点.方法结合职业健康检查对157家工厂14 537名噪声作业工人纯音听力和血压进行检测,以听力损伤作为累计噪声暴露量的替代指标,经年龄和性别分层后,分析听力损伤、接噪工龄与血压和高血压的相关性.结果调查对象以男性为主(占81.2％),多数在35岁以下(占77.8％),从事噪声作业不足5年(占73.6％).听力异常率男性高于女性,且随年龄和接噪工龄的增加而增加；仅在男性＜35岁组发现,感音性聋者收缩压和舒张压明显升高,其中舒张压和高血压现患率均随接噪工龄的增加而增加；男性感音性聋者高血压患病风险显著增加,＜35岁组和≥35岁组OR分别为3.0(95％CI:1.5～6.1)和2.1( 95％CI:1.2～3.4).结论噪声致严重听力损伤与高血压有关,建议重点关注噪声对年轻作业者高血压的影响.
목적 탐토조성여혈압、고혈압적상관성급기년령별특점.방법 결합직업건강검사대157가공엄14 537명조성작업공인순음은력화혈압진행검측,이은력손상작위루계조성폭로량적체대지표,경년령화성별분층후,분석은력손상、접조공령여혈압화고혈압적상관성.결과 조사대상이남성위주(점81.2％),다수재35세이하(점77.8％),종사조성작업불족5년(점73.6％).은력이상솔남성고우녀성,차수년령화접조공령적증가이증가；부재남성＜35세조발현,감음성롱자수축압화서장압명현승고,기중서장압화고혈압현환솔균수접조공령적증가이증가；남성감음성롱자고혈압환병풍험현저증가,＜35세조화≥35세조OR분별위3.0(95％CI:1.5～6.1)화2.1( 95％CI:1.2～3.4).결론 조성치엄중은력손상여고혈압유관,건의중점관주조성대년경작업자고혈압적영향.
Objective To study the correlation between noise and blood pressure and/or hypertension,and its age characteristic.Methods The pure tone audiometric and blood pressure examinations were performed in 14537 workers from 157 factories.Hearing impairment was used as a surrogate indicator of cumulated noise exposure.The associations of hearing impairment and duration of noise exposure with blood pressure and hypertension were analyzed respectively after age and gender stratification.Results Most of the objects were males (81.2 ％),younger than 35 years old (77.8 ％),and the duration of exposure to noise was less than 5 years (73.6 ％).The prevalence of heating impairment in males was significantly higher than that in males,and increased with age and duration of noise exposure.Only in males with age younger than 35 years old,the systolic and diastolic blood pressures of subjects with sensorineural hearing loss significantly enhanced,and the diastolic blood pressure and prevalence of hypertension increased with duration of noise exposure.The risk of hypertension in males with sensorineural hearing loss significantly increased,the odds ratios in subjects with age younger than 35 years old and with age older than 35 years old were 3.0 (95％CI:1.5～6.1 ) and 2.1 (95％CI:1.2～3.4),respectively.Conclusion The severe hearing impairment induced by noise was associated with hypertension.It is suggested that people should pay attention to the effects of noise on hypertension in young workers.