摘要
目的对广西水泥厂职工健康检查肝脏疾病超声检查结果进行分析,探讨水泥厂职工肝脏病变的影响因素,为水泥厂职工的职业防护和健康保护提供科学指导依据。方法选取2018—2019年广西10家新型干法旋窖水泥厂一线工人4709人作为观察组,选行政、后勤461人作为对照组,对10家水泥厂作职业卫生调查,收集两组人员相关资料,分析比较两组肝脏超声检查结果和相关资料,并使用logistic多因素回归分析其中影响因素。结果观察组4709名水泥厂工人肝脏超声检查结果发现共1116例患肝脏疾病,患病率为23.70%。其中观察组脂肪肝、肝内胆管结石、肝囊肿的发病率均显著高于对照组(均P<0.05)。两组在5~<16年和16~25年这2个工龄段间肝脏疾病检出率比较,差异有统计学意义(P<0.05),其中观察组增长趋势明显,对照组增长趋势平缓。观察组丙氨酸转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、降钙素原(PCT)、白介素-6(IL-6)水平均显著高于对照组(均P<0.05)。工龄、粉尘、高温、噪声、焦虑或抑郁、TC、TG、LDL-C、PCT、IL-6均是水泥厂工人肝脏疾病的影响因素(均P<0.05)。结论广西水泥厂工人部分存在肝脏疾病,形势不容忽视,工龄、粉尘、高温、噪声、焦虑或抑郁、TC、TG、LDL-C、PCT、IL-6均是水泥厂工人肝脏疾病的影响因素,相关企业需给予职工健康更多关注,如实落实职工职业病防护政策,个人需严格做好防尘防噪措施,以减小职业危害。
Objective Based on the analysis of the results of ultrasonic examination of liver diseases in Guangxi cement factory,we discussed the influencing factors of liver diseases in cement factory workers,so as to provide scientific guidance for occupational protection and health protection of cement factory workers.Methods 4709 first-line workers from 10 new dry process rotary cellar cement plants in Guangxi from 2018 to 2019 were selected as the observation group and 461 administrative and logistics workers as the control group.Occupational health survey was carried out in the 10 cement plants.Relevant data of the two groups were collected,and the results and relevant data of liver ultrasound examination were analyzed and compared.Logistic regression analysis was used to analyze the influencing factors.Results In the observation group,4709 liver workers were found to have liver diseases,with a 23.70%incidence rate of 1116 cases.The incidence rate of fatty liver,intrahepatic bile duct stone and hepatic cyst in observation group was significantly higher than that in control group(P<0.05).There was significant difference between the two groups of workingtimein the detection of liver diseases between 5-<10 and 16-25 years(P<0.05),and the growth trend in observation group was obvious,while that in control group was gentle.Alanine transferase(ALT),aspartate transferase(AST),total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C),procalcitonin(PCT)and interleukin-6(IL-6)in the observation group were significantly higher than those in control group(all P<0.05).Working age,dust,high temperature,noise,anxiety or depression,TC,TG,LDL-C,PCT,IL-6 were influencing factors of liver disease in cement factory workers(all P<0.05).Conclusion A part of workers in Guangxi cement plant have liver disease,which can not be ignored.Working age,dust,high temperature,noise,anxiety or depression,TC,TG,LDL-C,PCT,IL-6 are influencing factors of liver disease in workers in cement plant.Relevant enterprises need to pay more attention to the health of workers,implement the occupational disease prevention policies faithfully,and individuals need to strictly take dust and noise prevention measures to reduce occupational hazards.
作者
蔡昱
梁红
邹伟明
骆峰
韦宇翔
朱林平
CAI Yu;LIANG Hong;ZOU Wei-ming;LUO Feng;WEI Yu-xiang;ZHU Lin-ping(Department of Ultrasound,the Second Affiliated Hospital of Guangxi Medical University,Nanning Guangxi,530007,China;Nanning City,Guangxi Zhuang Autonomous Region Institute of occupational disease control,Nanning Guangxi,530007,China)
出处
《职业与健康》
CAS
2020年第18期2478-2481,2485,共5页
Occupation and Health
基金
广西壮族自治区卫生厅资助项目(S201306-01)
广西壮族自治区卫生和计划生育委员会(S201672)。
关键词
水泥厂工人
肝脏疾病
超声检查
Cement factory workers
Liver diseases
Ultrasonography
