焦炉作业与代谢综合征的相关性研究

目的]探讨焦化厂焦炉作业与代谢综合征之间的相关性。方法]以焦炉作业工人为研究对象,选取男性焦炉作业工人432名,其中炉顶工208名、炉侧工161名和炉底工63名。112名对照选自机电车间工人。检测所有研究对象的身高、体重、血压、血糖、高密度脂蛋白以及三酰甘油水平,按照中华医学会糖尿病分会(CDS)建议的标准诊断代谢综合征。结果]采用多元Logistic回归分析对各组间年龄、工龄、吸烟和饮酒状况等因素进行校正后,发现炉顶组及炉侧组与对照组相比患代谢综合征的危险度升高,调整OR值分别为3．33(95％可信区间为1．07-10．34)和3．43 (95％可信区间为1．13-10.37);且炉顶组及炉侧组高血压患病率也显著高于对照组(P<0．05),而炉底组危险度未见升高。结论]炉顶和炉侧作业可增加该作业人群患代谢综合征的危险度。

Study on the Correlation between Metabolic Syndrome and Coke Oven Work

Objective ] To study the correlation between metabolic syndrome ( MS ) and coke oven work. Methods ] According to the different exposed dose, 432 male coke oven plant workers were divided into there groups--oven-top group, oven-side group and oven-bottom group. 112 male workers from electromechanical workshop were chosen as controls. All subjects accepted health examination including anthropometric characteristics ( body height and weight), blood pressure, blood glucose, high density lipoprotein( HDL ), and triglyceride(TG ). The diagnosis of MS was based on the criterion recommended by Chinese Diabetes Society. Results ] After adjusted for age, smoking and drinking with multiple logistic regression analysis, the risk of MS in both oven-top and oven-side groups were found significantly increased, the adjusted OR of MS were 3.33 ( 95% confidence interval 1.07-10.34 ) and 3.43 ( 95% confidence interval 1.13-10.37 ), respectively, The risk not increased in the oven-bottom group. The prevalence of hypertension in the oven-top and oven-side groups was significantly higher than that in the control group. Conclusion ] The risk of MS might increase in the coke oven plant workers working on oven-top and oven-side.