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粘胶人造丝行业中接触二硫化碳的工人患高血压的风险。

Risk for hypertension in workers exposed to carbon disulfide in the viscose rayon industry.

作者信息

Chang Shu-Ju, Chen Chiou-Jong, Shih Tung-Sheng, Chou Tzu-Chieh, Sung Fung-Chang

机构信息

Department of Industrial Management, Aletheia University, Taipei, Taiwan.

出版信息

Am J Ind Med. 2007 Jan;50(1):22-7. doi: 10.1002/ajim.20409.

Abstract

BACKGROUND

Chronic exposure to carbon disulfide (CS(2)) has been associated with hypertension, elevated cholesterol, arteriosclerosis, ischemic heart disease and related mortality, adverse nervous and reproductive health effects, and hearing impairment. This study assessed the hypertension risk for male rayon workers exposed to CS(2).

METHODS

A total of 251 rayon workers and 226 administrative clerks at two plants in Taiwan received health examination and interviews, and were compared for hypertension risk. On-site CS(2) levels were measured.

RESULTS

The hypertension was more prevalent in the exposure group (43.4%) than in controls (7.1%) with greater impact on systolic blood pressure than diastolic. Multivariate logistic regression analysis showed a significant dose-response relationship between hypertensive risk and cumulative exposure index (CEI) with an odds ratio of 15.1 for workers exposed to 343-468 year-ppm of CS(2). The overall risk was elevated to 7.6 times higher for rayon workers. The risk increased significantly after more than 10 years of employment.

CONCLUSIONS

This study suggests that it takes a long exposure period to develop hypertension for rayon workers with CS(2) exposure.

摘要

背景

长期接触二硫化碳(CS₂)与高血压、胆固醇升高、动脉硬化、缺血性心脏病及相关死亡率、不良神经和生殖健康影响以及听力损害有关。本研究评估了接触CS₂的男性人造丝工人的高血压风险。

方法

台湾两家工厂的251名人造丝工人和226名行政职员接受了健康检查和访谈,并对高血压风险进行了比较。对现场CS₂水平进行了测量。

结果

暴露组高血压患病率(43.4%)高于对照组(7.1%),对收缩压的影响大于舒张压。多因素逻辑回归分析显示,高血压风险与累积暴露指数(CEI)之间存在显著的剂量反应关系,接触343 - 468年-ppm CS₂的工人的优势比为15.1。人造丝工人的总体风险升高至7.6倍。工作超过10年后风险显著增加。

结论

本研究表明,接触CS₂的人造丝工人患高血压需要较长的暴露期。

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