CAJ | 학술논문

目的通过描述供电职业人群身体健康状况,探讨体检指标与心血管疾病危险因素的相关性,为供电职业人群健康管理提供理论依据.方法采用流行病学横断面研究方法对北京市、河北省唐山市、张家口市220 kV及以上电压等级输变电作业场所18～60岁2 782名(男性1 830名,女性952名)供电职业人群身体健康状况和生活方式进行了问卷调查和体格检查.两样本或多样本率的比较采用x2检验.多因素分析采用多变量线性回归.结果本组供电职业人群超重检出率为38.9％;肥胖检出率为9.7％;收缩压高值检出率为30.1％;高收缩压检出率为17.4％;舒张压高值检出率为34.8％;高舒张压检出率为24.4％;空腹血糖受损率为7.1％;空腹血糖异常率为6.6％;总胆固醇边缘升高率为19.8％;总胆固醇异常率为7.9％;三酰甘油边缘升高率为17.2％;三酰甘油异常率为21.8％;低密度脂蛋白边缘升高率为14.5％;低密度脂蛋白异常率是3.8％;高密度脂蛋白减低率为15.0％;白细胞异常率是2.7％;丙氨酸转氨酶异常率为6.7％;肌酐异常率为4.6％.多因素线性回归结果显示:收缩压、舒张压、体质指数、空腹血糖、总胆固醇、低密度脂蛋白、高密度脂蛋白和丙氨酸转氨酶均与多种心血管疾病的危险因素相关.结论 220 kV及以上电压等级输变电作业场所供电职业人群心血管疾病危险因素边缘增高值和异常率均较高,对该职业人群进行有针对性的健康管理具有重要的公共卫生意义.
목적 통과묘술공전직업인군신체건강상황,탐토체검지표여심혈관질병위험인소적상관성,위공전직업인군건강관리제공이론의거.방법 채용류행병학횡단면연구방법대북경시、하북성당산시、장가구시220 kV급이상전압등급수변전작업장소18～60세2 782명(남성1 830명,녀성952명)공전직업인군신체건강상황화생활방식진행료문권조사화체격검사.량양본혹다양본솔적비교채용x2검험.다인소분석채용다변량선성회귀.결과 본조공전직업인군초중검출솔위38.9％;비반검출솔위9.7％;수축압고치검출솔위30.1％;고수축압검출솔위17.4％;서장압고치검출솔위34.8％;고서장압검출솔위24.4％;공복혈당수손솔위7.1％;공복혈당이상솔위6.6％;총담고순변연승고솔위19.8％;총담고순이상솔위7.9％;삼선감유변연승고솔위17.2％;삼선감유이상솔위21.8％;저밀도지단백변연승고솔위14.5％;저밀도지단백이상솔시3.8％;고밀도지단백감저솔위15.0％;백세포이상솔시2.7％;병안산전안매이상솔위6.7％;기항이상솔위4.6％.다인소선성회귀결과현시:수축압、서장압、체질지수、공복혈당、총담고순、저밀도지단백、고밀도지단백화병안산전안매균여다충심혈관질병적위험인소상관.결론 220 kV급이상전압등급수변전작업장소공전직업인군심혈관질병위험인소변연증고치화이상솔균교고,대해직업인군진행유침대성적건강관리구유중요적공공위생의의.
Objective To explore the relation of physical indicators to cardiovascular risk factors in occupation population of power transmission workplace to provide evidence for their health management.Methods A cross-section study was carried out in Beijing,Tangshan and Zhangjiakou.Multi-phase,stratified,unequal proportional and cluster sampling was adopted to investigate occupation population of power transmission workplace aged 18-60 years.Two sample or multiple samples were compared using x2 test.Multivariate linear regression was used for data analysis.Results In Beijing,Tangshan and Zhangjiakou,the distribution rate of overweight,obesity,high systolic blood pressure,high systolic blood pressure,high diastolic blood pressure,high diastolic blood pressure,impaired fasting glucose,fasting blood glucose,high total cholesterol,abnormal cholesterol,high triglyceride,abnormal triglyceride,high lowdensity lipoprotein,abnormal low-density lipoprotein,reduced high-density lipoprotein,abnormal interleukin,abnormal alanine transaminase and abnormal creatinine were 38.9％,9.7％,30.1％,17.4％,34.8％,24.4％,7.1％,6.6％,19.8％,7.9％,17.2％,21.8％,14.5％,3.8％,15％,2.7％,6.7％ and 4.6％,respectively.In multivariable liner regression analysis,systolic blood pressure,diastolic blood pressure,BMI,fasting blood glucose,triglyceride,total cholesterol,low density lipoprotein and alanine aminotransferase were significantly related to several risk factors of chronic disease.Conclusion The abnormal rate of physical indicators in occupation population aged 18-60 years was high.Health management for power supply occupation population should be strongly advocated.