[1]马　岩,李海斌,张进闯,等.噪声与粉尘联合作用对汽车发动机制造工人心电图及血压的影响[J].新乡医学院学报,2016,33(12):1067-1070.[doi:10.7683/xxyxyxb.2016.12.013]
　MA Yan,LI Hai-bin,ZHANG Jin-chuang,et al.Effect of noise combined with dust on electrocardiograph and blood pressure of car engine factory[J].Journal of Xinxiang Medical University,2016,33(12):1067-1070.[doi:10.7683/xxyxyxb.2016.12.013]
点击复制

噪声与粉尘联合作用对汽车发动机制造工人心电图及血压的影响
分享到：

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年12
页码:
1067-1070
栏目:
临床研究
出版日期:
2016-12-05

文章信息/Info

Title:
Effect of noise combined with dust on electrocardiograph and blood pressure of car engine factory
作者:
马　岩1; 2; 李海斌1; 2; 张进闯3; 姚三巧1; 2; 郭　萍4; 吴卫东1; 2
（1.新乡医学院公共卫生学院，河南　新乡　453003；2.新乡市环境污染健康效应与干预重点实验室，河南　新乡　453003；3.开封市中心医院心胸外科，河南　开封　475000；4.新乡医学院第三附属医院呼吸内科，河南　新乡　453003）
Author(s):
MA Yan1; 2; LI Hai-bin1; 2; ZHANG Jin-chuang3; YAO San-qiao1; 2; GUO Ping4; WU Wei-dong1; 2
（1.School of Public Health of Xinxiang Medical University,Xinxiang 453003,Henan Province,China;2.Laboratory of Environmental Pollutants and Health Effects Assessment of Xinxiang City,Xinxiang 453003,Henan Province,China;3.Department of Cardio-Thoracic Surgery,Kaifeng Central Hospital,Kaifeng 475000,Henan Province,China;4.Department of Respiratory Medicine,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,Henan Province,China）
关键词:
噪声; 粉尘; 心电图; 舒张压; 收缩压; 脉压
Keywords:
noise; dust; electrocardiograph; diastolic pressure; systolic pressure; pulse pressure
分类号:
R135.2
DOI:
10.7683/xxyxyxb.2016.12.013
文献标志码:
A
摘要:
目的　了解噪声、粉尘联合暴露对职业人群心电图、血压的影响。方法　选择长春市某汽车发动机制造厂1 022名工人为研究对象，根据职业有害因素接触情况分为对照组（A组，n=278）、噪声暴露组（B组，n=414）、粉尘暴露组（C组，n=85）及噪声与粉尘联合暴露组（D组，n=245），分别对工人进行血压及心电图检查。结果　4组研究对象心电图异常率比较差异均无统计学意义（P>0.05）。4组研究对象血压异常率总体比较差异有统计学意义（P<0.05），其中B、C、D组血压异常率明显高于A组（P<0.05）；C组血压异常率高于B组和D组（P<0.05）；B组和D组血压异常率比较差异无统计学意义（P>0.05）。4组研究对象的舒张压、收缩压和脉压总体比较差异有统计学意义（P<0.05）；析因方差分析结果显示，噪声、粉尘对研究对象舒张压和收缩压有影响（P<0.05），对研究对象舒张压和收缩压有交互作用（P<0.05）；噪声对研究对象脉压有影响（P<0.05）；粉尘对研究对象脉压无影响（P>0.05）；噪声、粉尘对研究对象脉压无交互作用（P>0.05）。结论　噪声、粉尘暴露对接噪工人舒张压、收缩压产生一定影响，噪声、粉尘联合暴露对职业人群舒张压、收缩压的影响具有交互作用。
Abstract:
Objective　To discuss the impact of noise-dust combined exposure on electrocardiograph(ECG)and blood pressure of occupational groups.Methods　A total of 1 022 occupational groups of a car engine factory in Changchun were selected and divided into control group(group A,n=278),noise exposure group(group B,n=414),dust exposure group(group C,n=85),noise and dust exposure group(group D,n=245)according to occupational exposure to harmful factors.Blood pressure and ECG of all subjects were measured.Results　There was no statistic difference in the abnormal rate of ECG of the subjects among the four groups（P>0.05）.There was statistic difference in abnormal rate of blood pressure of subjects among the four groups（P<0.05）;and the abnormal rates of blood pressure of subjects in group B,C,D were obviously higher than those in group A（P<0.05）;the abnormal rates of blood pressure of subjects in group C were significantly higher than those in group B and D（P<0.05）;there was no statistic difference in the abnormal rate of blood pressure of subjects between the group B and D （P>0.05）.There was statistic difference in diastolic blood pressure,systolic blood pressure and pulse pressure of subjects among the four groups（P<0.05）;the analysis of variance of factorial design showed that noise，dust can effect the diastolic blood pressure and systolic blood pressure（P<0.05）;and have interactive effects on diastolic blood pressure,systolic blood pressure（P<0.05）.The noise had effect on pulse pressure（P<0.05）；but dust had no effect on pulse pressure;the noise，dust had not interactive effects on pulse pressure（P>0.05）.Conclusion　Noise and dust exposure have an impact on the diastolic and systolic blood pressure of the workers;noise-dust combined exposure have an interaction impact on the diastolic and systolic blood pressure of occupational groups.

参考文献/References:

［1］　林金秀,吴可贵.1999年世界卫生组织 /国际高血压联盟关于高血压治疗指南［J］.高血压杂志,1999,7（2）:97-100.
［2］　黄宛.临床心电图学［M］.5版.北京:人民出版卫生社,1998:83.
［3］　GREEN M A,SCHWARTZ K,HARARI G.et al.Industrial noise exposure and ambulatory blood preasure and heart rate［J］.JOM,199l,33(8):879-883.
［4］　HASUAN S L,KANNAN M S,JEYASEELAN S,et al.Epidemiology of occupation and coronary heart disease:research agenda［J］.Am J Ind Med,1996，30(4):495-499.
［5］　杨长春,陶后富,王德玉,等.高温与噪声联合作用对心血管系统的影响［J］.工业卫生职业病,2000,26(6):343-345.
［6］　陈朝东.噪声作业人员心电图的观察［J］.职业医学,1996,23(5):28-30.
［7］　马永志.布机噪声对女工血压和心电图影响的调查［J］.工业卫生与职业病,2001,27(5):296-297.
［8］　唱斗,梁武,王生,等.高频稳态噪声对心血管系统影响的调查［J］.中国职业医学杂志,2003,30(2):25-27.
［9］　褒吉文,曹叔翘,冯琪,等.油田噪声对作业工人听力及心电图的影响［J］.中国工业医学杂志,2001,14(2):116-117.
［10］　邓锦伦,黄德贞,翁乔生,等.噪声对纺织工人非听觉系统影响［J］.职业医学,1986,13(2):56-57.
［11］　VAN KEMPEN E E,KRUIZE H,BOSHUIZEN H C,et al.The association between noise exposure and blood and ischemic heart disease:a meta analysis［J］.Environ Health Perspect,2002,110（3）:307-317.
［12］　PENNEY P J,EARL C E.Occupational noise and effects on blood pressure:exploring the relationship of hypertension and noise exposure in workers［J］.AAOHN J，2004,52(11):476-480.
［13］　肖启华,肖吕武,杜伟佳.噪声作业对心血管系统的影响［J］.职业与健康,2008,24(1):11-12.
［14］　陈自然.噪声对作业工人听力与心血管系统影响的分析［J］.实用预防医学,2007，14(3):766-767.
［15］　陈晓华,朱林平,黎丹倩,等.噪声对轧钢工人心血管系统的影响［J］.职业与健康,2012,28(11):1328-1330.
［16］　宋宇,张贤玉,杨敬荣,等.噪声对作业人员神经和心血管系统的影响 ［J］.职业与健康,2007,23（15）:1281-1283.
［17］　纪红.噪声对海航飞行员心血管和神经系统的影响［J］.临床军医杂志,2005,33（3）:344-345.
［18］　陈卓.噪声对作业工人血脂影响的方差分析 ［J］.实用预防医学,2002,9(5):540-541.
［19］　NEMMAR A,HOET P H,VANQUICKENBORNE B,et al.Passage of inhaled particles into the blood circulation in humans［J］.Circulation,2002,105(4):411-414.
［20］　WALLENBORN J G,MCGEE J K,SCHLADWEILER M C,et al.Systemic translocation of particulate matter-associated metals following a single intratracheal instillation in rats［J］.Toxicol Sci,2007,98(1):231-239.
［21］　OBERDRSTER G,SHARP Z,ATUDOREI V,et al.Translocation of inhaled ultrafine particular to the brain［J］.Inhal Toxicol,2004,16(6/7):437-445.
［22］　KREYLING W G,SEMMLER M,ERBE F,et al.Translocation of ultrafine insoluble iridium particles from lung epithelium to extra pulmonary organs is size dependent but very low［J］.J Toxicol Environ Health,2002,65(20):1513-1530.
［23］　赵一鸣.近年来我国噪声危害与防治措施研究进展及今后研究方向和工作重点［J ］.工业卫生与职业病,1998,24(3):187-192.
［24］　KRISTENSEN T S.Cardiovascular disease and work environment.A critical review of the epidemeiologic literature on nonchemiacal factors［J］.Scand J Work Environ Health，1989，15(3):165-179.
［25］　佘晓俊,吴铭.噪声对心脏影响的研究进展［J］.中华劳动卫生职业病杂志,2005,23（2）:146-148.
［26］　POPEC A 3RD,BURNETT R T,THURSTON G D,et al.Cardiovascular mortality and long-term exposure to particulate air pollution:epidemological evidence of general pathophysiological pathways of disease ［J］.Circulation,2004,109(1):71-77.
［27］　ROBERT D B,BARRY F,WAYNE C,et al.Air pollution and cardiovascular diseases［J］.Circulation,2004,109(21):2655-2671.
［28］　PEKKANEN J,BRUNNER E J,ANDERSON H R,et al.Daily concentrations of air pollution and plasma fibrinogen in London［J］.Occup Environ Med,2001,57(12):818-822.
［29］　BARNES P J.Neurogenic inflammation in the airway［J］.Respir Physiol，2001,125(1/2):145-154.
［30］　PORTER D W,MILLECCHIA L L,WILLARD P,et al.Nitric oxide and reactive oxygen species production causes progressive damage in rats after cessation of silica inhalation［J］.Toxicolog Sci,2006,90(1):188-197.
［31］　沈阳.粉尘与噪声对心血管系统联合影响探讨［J］.淮海医药,2011,29(2):116-117.
［32］　中国高血压防治指南修订委员会.中国高血压防治指南2010［J］.中华高血压杂志,2011,19（8）:701-743.
［33］　施仲伟.在临界纯收缩期高血压老年患者中用超声心动图评价左室结构与舒张期充盈:Framingham心脏研究［J］.国际心血管病杂志,1994，21(3):62-65.
［34］　凌瑞杰，李涛，张敏.铸工职业暴露与心血管疾病的研究进展［J］.工业卫生与职业病，2005,31（5）：340-343.

更新日期/Last Update: 2016-12-05