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高温职业暴露对家电制造业工人糖脂代谢的影响

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目的 探讨高温职业暴露对家电制造业工人糖脂代谢的影响,为高温职业暴露人群糖脂代谢异常防治提供理论依据.方法 选取在某院进行职业健康检查的1 200名家电制造业工人为研究对象,采用判断抽样方法,分为职业性高温暴露组和对照组,其中暴露组963例,对照组237例,检测两组人群糖脂指标并分析糖脂代谢异常情况及其影响因素.结果 暴露组空腹血糖、总胆固醇、甘油三脂、低密度脂蛋白胆固醇分别为(6.87±1.25)、(6.48±1.18)、(1.52±0.46)、(3.54±0.67)mmol/L,均高于非暴露组(5.67±1.17)、(5.15±1.06)、(1.36±0.38)、(3.32±0.76)mmol/L,差异有统计学意义(t=4.25、8.64、3.84、2.43,P<0.05);高温暴露组工人不同工龄阶段,糖脂代谢异常率差异有统计学意义(x2=8.144,P<0.05),而非暴露组工人各工龄段差异无统计学意义(x2=0.341,P>0.05);logistic多因素回归分析显示性别、年龄、饮酒、高温暴露是糖脂代谢异常的影响因素(x2=20.563、9.349、31.452、58.209、26.421,P<0.05),男性糖脂代谢异常风险是女性的2.316倍,饮酒是未饮酒的2.748倍,年龄每增加一个年龄段,糖脂代谢异常风险就增加1.585倍,高温暴露工人糖脂代谢异常风险是非暴露工人的2.816倍.结论 高温职业暴露影响人体糖脂代谢,主要影响因素为性别、年龄、饮酒、工龄等.
Effects of occupational exposure to high temperature on glucose and lipid metabolism among workers in the household electrical appliances manufacturing industry
Objective To investigate the effects of occupational exposure to high temperature on glucose and lipid metabolism of household appliance manufacturing workers,providing a theoretical basis for the prevention and treatment of abnormal glucose and lipid metabolism in occupational-exposed populations to high temperature.Methods A total of 1 200 workers from household electrical appliances manufacturing industry who underwent occupational health examination in a hospital were selected as the research subjects,and divided into occupational high temperature exposure and control groups using the judgment sampling method,including 963 in the exposure group and 237 in the control group.The glucose and lipid metabolism in the two groups were detected and analyzed.Results The detection results of fasting blood glucose,total cholesterol,triglycerides and low-density lipoprotein in the exposed group were(6.87±1.25)mmol/L,(6.48±1.18)mmol/L,(1.52±0.46)mmol/L and(3.54±0.67)mmol/L,respectively,which were higher than those in the non exposed group,with(5.67±1.17)mmol/L,(5.15±1.06)mmol/L,(1.36±0.38)mmol/L and(3.32±0.76)mmol/L,respectively,and the difference was statistically significant(t=4.25,8.64,3.84,2.43,P<0.05);There was a statistically significant difference in the abnormal rate of glucose and lipid metabolism among workers exposed to high temperature at different stages of service(x2=8.144,P<0.05),while there was no statistically significant difference in different working years among workers in the non exposed group(x2=0.341,P>0.05);logistic multiple factor regression analysis showed that gender,age,alcohol consumption,and high temperature exposure were the influencing factors for abnormal glucose and lipid metabolism(x2=20.563,9.349,31.452,58.209,26.421,P<0.05).The risk of abnormal glucose and lipid metabolism in males was 2.316 times higher than that in females,and alcohol consumption was 2.748 times higher than that of non-alcohol consumption.For each age group increased,the risk of abnormal glucose and lipid metabolism increased by 1.585 times.The risk of abnormal glucose and lipid metabolism in workers exposed to high temperature is 2.816 times higher than that of non-exposed workers.Conclusion Occupational exposure to high temperature affects human glucose and lipid metabolism.The main influencing factors are gender,age,drinking,and working duration.

Heat stressOccupational exposureGlycolipid metabolism

符传东、林丹茵、郝建楸、冯清、孙思红

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广东省工伤康复医院职业健康管理科,广东广州 510440

高温 职业暴露 糖脂代谢

广东省医学科研基金项目

B2021124

2024

工业卫生与职业病
鞍山钢铁集团公司

工业卫生与职业病

CSTPCD
影响因子:0.486
ISSN:1000-7164
年,卷(期):2024.50(5)