摘要
目的了解核电站员工心电图检查结果及其影响因素,为探索有效的防护措施提供可靠依据。方法选取广西某核电站不同车间929名员工(接触危害组817名,非接触危害组112名),对其进行问卷调查和心电图检查,分析其心律失常的影响因素。结果929名员工中,310名(33.4%)员工存在心电图异常,其中存在心律失常的有258名(27.8%)。接触危害组研究对象窦性心动过缓和房室传导阻滞的发生率均高于非接触危害组(均P<0.05)。多因素logistic回归分析结果显示,男性、年龄<30岁、接触危险因素均是核电站员工发生心律失常的独立危险因素。结论该核电站员工心电图异常率较高,企业应加强对员工的职业健康监护工作,定期为其进行心电图等检查,做好职业防护。
Objective To understand the electrocardiogram examination results of employees in nuclear power plant and its influencing factors,so as to provide a reliable basis for exploring effective protective measures.Methods A total of 929 employees(817 in the exposure hazard group and 112 in the non-exposure hazard group)from different workshops of a nuclear power plant in Guangxi were selected for a questionnaire survey and an electrocardiogram examination to analyze the influencing factors of arrhythmia.Results Among 929 employees,310(33.4%)employees had electrocardiographic abnormalities,and 258(27.8%)of them had arrhythmia.The incidences of sinus bradycardia and atrioventricular block in exposure hazard group were higher than those in the non-exposure hazard group(all P<0.05).Multivariate logistic regression analysis results showed that male,age<30 years old and with exposure to risk factors were independent risk factors for arrhythmia in nuclear power plant employees.Conclusion The abnormal electrocardiogram rate of employees working in the nuclear power plant is high.Enterprises should strengthen the occupational health supervision,perform regular electrocardiogram examinations and other health screenings,and pay attention to occupational protection of employees.
作者
黄秋梅
林忠文
麦志丹
杨金平
刘娴
朱林平
HUANG Qiumei;LIN Zhongwen;MAI Zhidan;YANG Jinping;LIU Xian;ZHU Linping(Guangxi Zhuang Autonomous Region Institute for the Prevention and Treatment of Occupational Disease,Nanning 530021,Guangxi,China)
出处
《内科》
2022年第5期535-538,共4页
Internal Medicine
基金
广西医疗卫生适宜技术开发与推广应用项目(S2018048)
广西壮族自治区卫生和计划生育委员会资助项目(S2017002)。
关键词
核电站
心律失常
影响因素
心电图
职业危害
健康防护
广西
Nuclear power plant
Arrhythmia
Influencing factor
Electrocardiogram
Occupational hazard
Health protection
Guangxi
