上海冬季大楼综合征的流行病学研究

目的：探讨上海冬季封闭性建筑物的办公室人员中是否存在大楼综合征（ＳＢＳ），以及基本的总体表现。方法：１９９７和１９９８年冬季，在峻工１０年以内的２７幢办公楼及其内的８４１中办公室工作人员中进行内容包括办公室一般情况、环境检测、个人一般情况、个人症状问询，以及个人医学检查的现况调查。结果：１４项问询症状中有８个症状的报告率超过了１５％，其中４个超过了３０％；个人症状指数（ＰＳＩ）及个人５项症状指数（

A Epidemiological Study on Sick Building Syndrome in Winter in Shanghai

Objective] This study is to explore the presence and the general presentation of sick building syndrome (SBS) in the sealed buildings in winter in Shanghai. [Method] 27 office buildings completed after 1986 and 841 officers working in these buildings were investigated by the method of cross section investigation. The investigation included room general conditions,environmental monitoring,subject general conditions,symptom questionnaire,and medical examinations during the winters of 1997 and 1998. [Results] The report rates of 8 in 14 symptoms questioned were exceeded 15% in the subject population,even exceed 30% in 4 of these. The average personal symptom index (PSI) and 5 personal symptom index (5 PSI) were 2 91 and 1 69,respectively. The positive rates of eye and throat irritation signs were more than 30%. The subject consistence between reported symptom and relevant positive sign was not high so that the sex differences in the symptom rates reported could not be supported from the medical examinations,and the opposite differences were even existed. Some general conditions in the offices such as smoking prohibition,indoor planting,more than 2 years of decorating completion can reduce the positive rates of mucosa irritation sign and the report rates of some symptoms significantly. These conditions,however,did not result in the obvious alteration of the averages in the environmental measurements. [Conclusion] SBS was presented in the office workers working in newly built sealed buildings in Shanghai,and its presentation was extrusive in the mucosa and central nervous system. Smoking prohibition,indoor planting,and more than 2 years of decorating completion can reduce SBS. The objective sings and tests have to be stressed in the epidemiological studies on SBS,and the symptom report alone was unreliable.