噪声作业环境对血压及心电图的影响分析

邢聪

（陕西省宝鸡市妇幼保健院，陕西 宝鸡，721000）

浏览次数：138次 下载次数：436次

摘要：

目的 探讨噪声环境对作业人群血压及心电图的影响，为预防控制噪声危害提供参考。方法 选择2014年2月至2016年7月在噪声环境下工作的人员300例作为观察组，同期选择未在噪声环境下工作的人员300例作为对照组，两组都进行血压及心电图、噪声强度测定，比较两组患者检测结果。结果 观察组与对照组的作业环境噪声值分别为（98.24依10.14）dB、（45.24依9.24）dB，观察组噪声值明显高于对照组（P<0.05）；观察组研究对象的血压与心电图异常率分别为23.0%和23.7%， 对照组分别为5.0%和5.3%，观察组的血压与心电图异常率明显高于对照组（P<0.05），观察组的收缩压、舒张压与心率分别为（134.24±11.49）mmHg、（84.20±10.94）mmHg 和（92.94±6.30）次/min，分别高于对照组的（122.94±11.49）mmHg、（76.30± 9.20）mmHg 和（85.02±7.14）次/min（P<0.05）。结论 噪声作业环境可导致作业人群的血压及心电图明显异常，从而产生心血管危害，需要积极加强预防性管理。

关键词：噪声作业环境；血压；心电图

中图分类号：R131文献标志码：A文章编号：2096-1413(2017)10-0105-02

The influence analysis of noise in the working environment on blood pressure and ECG
XING Cong
(Maternal and Child Health Care Hospital of Baoji, Baoji 721000, China)

ABSTRCT: Objective To investigate the influence of noise in the working environment on blood pressure and ECG and provide reference for the prevention and control of noise hazards. Methods Three hundred cases of workers worked in the noisy environment from February 2014 to July 2016 were selected as observation group, during the same period, 300 cases who did not work in the noisy environment were selected as control group. The workers' blood pressure, ECG and noise intensity of the two groups were measured, and the results were compared. Results The noise intensity of the observation group and control group were respectively (98.24±10.14) dB and (45.24±9.24) dB, the observation group was significantly higher than that of the control group (P<0.05). The abnormal rate of blood pressure and ECG of the observation group were 23.0%
and 23.7% respectively, while the control group with 5.0% and 5.3%, and the abnormal rate of blood pressure and ECG of the observation group were significantly higher than those in the control group (P<0.05). The systolic blood pressure, diastolic blood pressure and heart rate of the observation group were respectively (134.24±11.49) mmHg, (84.20±10.94) mmHg and (92.94±6.30) beats/min, which were significantly higher than (122.94±11.49) mmHg, (76.30±9.20) mmHg and (85.02±7.14) beats/min of the control group (P<0.05). Conclusion Noisy working environment can lead to the abnormal of blood pressure and ECG in working population and produce cardiovascular risk, which needs actively strengthen the preventive management.

KEYWORDS: noisy working environment; blood pressure; ECG

参考文献：
[1] 钱学全,郭文婕,李隆倩,等.新疆某油田噪声对作业人员健康的影响[J].职业与健康,2015,31(8):1028-1031.
[2] 王云慈.噪声作业工人健康状况损害调查分析[J].现代医药卫生,2016,32(9):1430-1431.
[3] 王致,梁嘉斌,段传伟,等.汽车零部件制造行业职业病危害因素及作业工人健康状况调查[J].实用预防医学,2016,23(1):7-9,15.
[4] 李淑艳,姚红姣,王雪毓,等.机械性噪声暴露对工人血压正常高值的影响[J].职业与健康,2015,31(6):808-810.
[5] 孙力艳.职业性噪声作业人群的血压与心电图变化[J].航空航天医学杂志,2016,27(4):432-433.
[6] 张萍,钱小莲.低中强度噪声对作业人员心血管的影响[J].职业与健康,2015,31(9):1269-1270,1273.
[7] GOEL A,ELIAS JE,EAPEN CE,et al.Idiopathic non-cirrhotic intrahepatic portal hypertension (nciph)-newer insights into pathogenesis and emerging newer treatment options[J].J Clin Exp Hepatol,2014,4(3):247-256.
[8] 张丽江,何华,路宝利,等.噪声作业纺织女工高血压患病情况及其影响因素[J].职业与健康,2015,31(2):169-170.
[9] 林秋月,凌玮洁,黄丽丽,等.同时接触噪声和高温造纸厂工人心血管系统状况调查[J].职业卫生与应急救援,2015,33(4):276-277
[10] 林道建,王华芳,麦卫华,等.2473例噪声作业工人职业体检异常结果分析[J].中外医学研究,2015,13(30):151-153.