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[阿萨雷尔采矿与选矿厂的职业生理学研究——露天矿工人心血管系统危险因素筛查]

[An occupational physiology study at the Asarel Mining and Milling Works--screening for risk factors of the cardiovascular system in workers in an open-pit mine].

作者信息

Mincheva L, Khadzhiolova I

出版信息

Probl Khig. 1995;20:47-59.

PMID:8524751
Abstract

It was the purpose of this study to define the frequency of occurrence of a number of individual and occupational factors contributing to development of arterial hypertension in "Asarel" MMW open-pit workers. The investigated subjects numbered 36 and ranged in age from 22 to 55 years (average, 36 +/- 1.9 years). The jobs represented included mainly: diggers, bulldozers, driver, drillers, blasters, road-service workers, electric and mechanic fitters. Endpoints measured and evaluated included: arterial blood pressure, pulse rate, biometric characteristics (age, occupational experience, body height and weight), common risk factors, such as family antecedents, cigarette smoking, alcohol consumption, level of physical activity at and off work, etc. For this sample of open-pit workers, findings indicated a relatively high incidence of hypertension (28% of subjects). The level of arterial hypertension consistently correlated with worker age, length of occupational experience, and body weight. There was high prevalence of cardiovascular risk factors: alcohol consumption, family history, cigarette smoking, use of salty foods, overweight. The observed changes in the cardiovascular system and high prevalence of risk factors point to the necessity of taking specific medical prevention measures. These have been taken into consideration in designing the overall program of upgrading work conditions and organization, as well as improving the style of life of "Asarel" MMW workers.

摘要

本研究旨在确定导致“阿萨雷”露天煤矿工人动脉高血压发病的一系列个人因素和职业因素的发生频率。调查对象有36人,年龄在22岁至55岁之间(平均年龄为36±1.9岁)。所涉及的工作主要包括:挖掘工、推土机操作员、司机、钻孔工、爆破工、道路养护工、电气和机械装配工。测量和评估的终点指标包括:动脉血压、脉搏率、生物特征(年龄、职业经历、身高和体重)、常见风险因素,如家族病史、吸烟、饮酒、工作内外的体力活动水平等。对于这个露天煤矿工人样本,研究结果表明高血压发病率相对较高(占受试者的28%)。动脉高血压水平与工人年龄、职业经历时长和体重始终相关。心血管风险因素的患病率很高:饮酒、家族病史、吸烟、食用高盐食物、超重。观察到的心血管系统变化和高风险因素患病率表明有必要采取特定的医疗预防措施。在设计改善工作条件和组织的总体计划以及改善“阿萨雷”露天煤矿工人的生活方式时,这些因素已被考虑在内。

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