苯系物及噪声对喷漆工心血管系统的影响.docVIP

PAGE PAGE 3 苯系物及噪声联合暴露对印刷工血压和心电图的影响 常艾民1吴群煌1张俊平2肖文2 （安阳市疾病预防控制中心，河南，安阳，455000） 【摘要】目的 探讨苯系物、噪声联合暴露对喷漆工血压和心电图的影响，为苯系物及噪声对血压和心电图的联合作用研究提供人群资料。 方法 对某烟厂彩印、水松车间长期接触苯系物及噪声的225人进行职业健康检查，并以不接触毒物、噪声的210名公务员为对照。结果 苯系物及噪声接触组高血压和心电图异常的检出率明显高于对照组（P0.01），且随着工龄的增加而升高。心电图异常主要表现为T波改变、ST-T改变、ST段压低、束支或房室传导阻滞、左心室高电压、窦性心律不齐。结论 长期接触苯系物及噪声作业是造成喷漆工高血压和心电图异常改变的危险因素。 【关键词】 机床；苯系化合物；噪声；心血管系统 Impact of Benzene Series Compounds and noise on Cardiovascular System among Painters CHANG Ai-min.Anyang Center for Disease Control and Prevention，Anyang Henan 455000，China 【Abstract】 Objective This thesis is aimed at probing into the impact of benzene series compounds and noise on cardiovascular system and thus offering certain materials for studying the combined effects of benzene series compounds and noise on the human cardiovascular system. Methods The occupational physical examination was done among 225 painters exposed to low-level benzene series compounds and noise in a lathe manufacturing company,210 civil servants non-exposed to toxic substances and noise is selected for the control group. Results The detection ratios of hypertension and abnormal ECG of the exposed group were significantly higher than that in the control group (P0.01). This difference increased with the increase of length of service. It is mainly characterized by T wave changes, ST-T wave changes, ST-T wave depression, bundle branch or atrioventricular block,left ventricular high voltage，sinus arrhythmia in ECG changes. Conclusion It is risk factors by which the painters have hypertension and abnormal ECG change for long-term exposure to benzene series compounds and noise. 【Keywords】 Lathe；Noise；Benzene series compounds；Cardiovascular system 机床厂喷漆作业工人主要接触粉尘、苯系化合物（苯、甲苯、二甲苯，以下简称苯系物）、噪声。为进一步探讨苯系物、噪声对心血管系统的影响，为苯系物及噪声的心血管毒性研究提供人群资料，2015年4月，我们对某机床厂喷漆车间从事接触苯系物、噪声的喷漆工225名进行了职业健康检查，并以不接触毒物的公务员210名作为对照，现将结果总结如下。 1 对象与方法 1.1 对象 选取某机床厂喷漆车间接触苯系物、噪声的喷漆工225名为接触组，其中男职工107人，女职工118人，年龄18～58岁（平均35岁），工龄3年～41年（平均工龄14年）。以不接触毒物的公务员210名为对照组，年龄20～57