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职业噪声对员工健康的影响:一项纵向研究。

Effect of Occupational Noise on Employee Health: A Longitudinal Study.

作者信息

Huang Chin-Yin, Lai An-Ju, Chen Chun-Chieh, Lin Yu-Li

机构信息

Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, Taiwan.

Taiwan Hon Chuan Group, Taichung Industrial Park, Taiwan.

出版信息

Noise Health. 2024;26(123):514-522. doi: 10.4103/nah.nah_66_24. Epub 2024 Dec 30.

Abstract

OBJECTIVE

This study investigated the long-term health risks associated with occupational noise exposure. By using 9 years of health examination data from a major manufacturing company in Taiwan, this study compared the health indices of employees in noise-intensive and non-noise-intensive work environments.

METHODS

A retrospective analysis of 6278 health examination reports spanning 9 years was conducted to compare 20 health indices among 166 employees evenly distributed between noise-intensive and non-noise-intensive workgroups. These employees were carefully matched for sex, age, and work experience. Linear regression models were used to assess the temporal impact of noise exposure on each health index by incorporating a unique range ratio to quantify index fluctuations attributable to noise.

RESULTS

Employees exposed to occupational noise had an increase in platelet count of 16.594 K/µL, with an annual increment of 1.228 K/µL. Moreover, employees in noisy environments exhibited a significant increase in blood urea nitrogen level by 0.438 mg/dL, with an annual increase of 0.171 mg/dL. Additionally, their carcinoembryonic antigen level was significantly increased by 0.187 ng/mL on average, with the annual increase being 0.034 ng/mL. Moreover, increases in systolic blood pressure (2.015 mmHg), heart rate (4.620 beats/min), and white blood cell count (0.536 K/µL) and a decrease in red blood cell count (0.107 M/µL) were discovered to be solely attributable to noise exposure.

CONCLUSIONS

Prolonged exposure to high occupational noise levels significantly increases the risk of cardiovascular, renal, and colorectal diseases. This longitudinal study underscores the detrimental health consequences of prolonged noise exposure in occupational settings.

摘要

目的

本研究调查了与职业性噪声暴露相关的长期健康风险。通过使用台湾一家大型制造公司9年的健康检查数据,本研究比较了噪声密集型和非噪声密集型工作环境中员工的健康指标。

方法

对6278份跨越9年的健康检查报告进行回顾性分析,以比较166名员工的20项健康指标,这些员工均匀分布在噪声密集型和非噪声密集型工作小组中。这些员工在性别、年龄和工作经验方面进行了仔细匹配。线性回归模型用于评估噪声暴露对每个健康指标的时间影响,通过纳入一个独特的范围比来量化归因于噪声的指标波动。

结果

暴露于职业噪声的员工血小板计数增加了16.594 K/µL,年增量为1.228 K/µL。此外,处于嘈杂环境中的员工血尿素氮水平显著增加了0.438 mg/dL,年增加量为0.171 mg/dL。此外,他们的癌胚抗原水平平均显著增加了0.187 ng/mL,年增加量为0.034 ng/mL。此外,发现收缩压(2.015 mmHg)、心率(4.620次/分钟)和白细胞计数(0.536 K/µL)的增加以及红细胞计数(0.107 M/µL)的减少完全归因于噪声暴露。

结论

长期暴露于高职业噪声水平会显著增加心血管、肾脏和结肠直肠疾病的风险。这项纵向研究强调了职业环境中长时间噪声暴露对健康的有害影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d960/11813250/d0e2391c6338/NH-26-514-g001.jpg

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