宜宾市珙县男性煤矿工人高血压流行病学调查

目的了解井下矿工高血压患病情况及相关知识知晓率，为制定防治对策与有效预防提供依据。方法以宜宾市珙县所有男性煤矿工人为研究对象，对地面作业和井下作业的矿工进行问卷调查和血压、心率、身高、体重测量，描述矿工高血压患病率与知识知晓率。结果矿工中井下作业组高血压患病率为37．62％，地面作业组为12．57％，差异有统计学意义（P〈0．05）；高血压检出率随井下工龄增长升高（P〈0．05）；有吸烟、饮酒、肥胖、高脂血症、低钾血症、高血压家族史等因素的井下矿工高血压患病率为65．16％，无上述因素者为17．24％；初中以上文化组对高血压与相关疾病知识知晓率及高血压患病危险因素知晓率为87．43％，初中以下组为39．47％。结论井下煤矿工人高血压患病率高于地面作业人员，高血压病井下工作时间有关，与吸烟、饮酒、肥胖、高脂血症、低钾血症、有高血压家族史和高血压病知识知晓情况等有关。

An Epidemiological Analysis of Hypertension of Coal Miners of Gongxian County, Yibin City

Objective To know the hypertenstion morbidity and awareness rate on miners, so as to provide basis for control strategies. Methods All the male coal relative knowledge in coal miners （ 3 834） in Gongxian County were investigated. Questionnaire and physical examination on blood pressure, and weight were conducted in all the coal miners working on the ground（756 miners miners）. Results Hypertension morbidity was 37.62% in miners working underground working on the ground （P 〈 0. 05 ）. Hypertension heartbeat, body height or underground（3 078 but 12. 57% in miners cases increased along with the increase of working 〈 0. 05 ）. The hypertension morbidity in undergound miners with factors of smoking, wine drinking, years （ P obesity, hyperlipemia, hypokalemia or hypertention family history was 65. 16%, but 17. 24% in those without above factors（ P 〈0. 05 ）. The awareness rate of hypertension related knowledge in miners over junior middle school education was 87.43%, but 39. 49% in miners under junior middle school education（ P 〈 0. 05 ）. Conclusion Coal miners working underground are at a greater risk to contract hypertension than those working on the ground, and the contraction of the disease is not only related with the length of the miners＇ working underground, but also related obesity and the history of with smoking, wine drinking, hypertension in their families.