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噪声暴露作为工人心血管疾病的一个风险因素。

Noise exposure as a risk factor of cardiovascular diseases in workers.

作者信息

Yousefi Rizi Hossein Ali, Hassanzadeh Akbar

机构信息

Department of Occupational Health, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Educ Health Promot. 2013 Mar 31;2:14. doi: 10.4103/2277-9531.112683. eCollection 2013.

Abstract

INTRODUCTION

Workers in different jobs are exposed to noise, which can affect hearing loss and sleep disturbance in the long term. Excessive noise exposure may lead to increased blood pressure, reduced efficiency, and increased absenteeism.

MATERIALS AND METHODS

In this case-control study, 80 workers were studied in terms of noise exposure and blood pressure. Noise exposure was measured by SEL 440 sound level meters according to ISO 1996 standard. Blood pressure of the case and control groups was measured in workplace, under standard circumstances, using ALPK2 mercury sphygmomanometer during physical examination. Data were analyzed by t-test and Pearson's correlation coefficient.

RESULTS

Mean level of noise was 95.21 ± 2.56 db, which was significantly higher than permitted limit of 85 db (ACGIH 2009) (P < 0.01). Diastolic blood pressure was normal in 28.8% and high in 50.1%, and between these in 21.1% of workers. Mean difference of systolic blood pressure in two studied groups (P < 0.01) was meaningful. However, mean difference of diastolic blood pressure was not significant in two studied groups (P > 0.05). There was a positive and weak relationship between noise and systolic blood pressure (r = 0.28, P < 0.006).

CONCLUSION

Prolonged exposure to industrial noise is related with high blood pressure as a risk factor of cardiovascular diseases. Therefore, it is recommended that training programs be held for workers, preventive measures for noise exposure at workplace be taken, blood pressure of workers be attended to and special care be given to workers with a history of hypertension.

摘要

引言

从事不同工作的工人会接触到噪音,长期来看,这可能会影响听力损失和睡眠障碍。过度暴露于噪音中可能会导致血压升高、效率降低和旷工率增加。

材料与方法

在这项病例对照研究中,对80名工人的噪音暴露和血压进行了研究。根据ISO 1996标准,使用SEL 440声级计测量噪音暴露。在体检期间,在标准环境下,使用ALPK2汞柱血压计在工作场所测量病例组和对照组的血压。数据通过t检验和Pearson相关系数进行分析。

结果

平均噪音水平为95.21±2.56分贝,显著高于85分贝的允许限值(美国政府工业卫生学家会议,2009年)(P<0.01)。28.8%的工人舒张压正常,50.1%的工人舒张压偏高,21.1%的工人舒张压处于两者之间。两个研究组收缩压的平均差异有意义(P<0.01)。然而,两个研究组舒张压的平均差异不显著(P>0.05)。噪音与收缩压之间存在正相关但较弱的关系(r=0.28,P<0.006)。

结论

长期暴露于工业噪音与高血压有关,高血压是心血管疾病的一个风险因素。因此,建议为工人举办培训项目,采取工作场所噪音暴露的预防措施,关注工人的血压,并对有高血压病史的工人给予特别照顾。

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本文引用的文献

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Hypertension in noise-exposed sawmill workers: a cohort study.噪声暴露锯木厂工人的高血压:一项队列研究。
Occup Environ Med. 2008 Sep;65(9):643-6. doi: 10.1136/oem.2007.035709. Epub 2008 Jan 4.
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Effects of occupational noise exposure on blood pressure.职业噪声暴露对血压的影响。
J Occup Environ Med. 2003 Dec;45(12):1289-96. doi: 10.1097/01.jom.0000100003.59731.3d.

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