职业紧张对职业人群心血管功能的影响

目的 探讨职业紧张对职业人群血压和心电图的影响。方法 用一般工作紧张问卷对某市4种职业人群共839例进行了职业紧张调查、心血管疾病危险因素调查，同时进行了血压、血糖、血脂、心电图检查。结果 血压随年龄、工龄的增高，4种职业中，教师血压水平最高，人群血压异常率为21．69％；心电图异常无年龄、工龄和工种差别，异常率为19.07％。影响收缩压、舒张压的主要紧张因素为工作控制、工作需求、工作责任、工作角色、倒班。工作冲突多、参与机会少、工作负荷重是职业人群原发性高血压的危险因素。工作责任事故、工作责任、工作角色是异常心电图产生的危险因素。自尊感和工作之外的其他活动是心脏功能良好的调节因素。结论 职业紧张对心血管功能有一定程度的影响。

Effect of occupational stress on cardiovascular function of different vocational population

Objective To study the effect of occupational stress on cardiovascular function of different vocational population. Methods The occupational stressors,risk factors of cardiovascular diseases were investigated by questionnaire in 839 people with 4 kinds of jobs.Blood pressure,sugar,and lipid were detected at the same time. Results Blood pressure were higher in the groups of old age,long standing and teachers,and the abnormal rate of blood pressure was 21.69%.There was no difference in abnormal ECG among ages,standing and occupation,and the abnormal rate of ECG was 19.07%.Job control,job demands,job responsibility,role in a job and shift work were the main stress factors affecting sistolic and diastolic blood pressure.More conflict in job,less chance of participatation,severe job loads were the risk factors of primary hypertension.Accident due to job responsibility,job responsibility, role in a job were the main risk factors of abnormal electrocardiograph.Self-respect and activity beyond work were the good modifiers of heart function. Conclusion Occupational stress has certain effect on cardiovascular function.