摘要
目的 分析成都市某公交公司职业机动车驾驶员血压、空腹血糖、血脂及体质量指数(body mass index,BMI)检查结果,结合问卷调查,为该类特殊职业群体心血管疾病(cardiovascular disease,CVD)相关健康管理提供参考。方法 2021年10—12月,通过回顾性分析在成都医学院第二附属医院·核工业四一六医院进行职业健康检查的成都市某公交公司659名职业机动车驾驶员血压、血糖、血脂及BMI检查结果,并与同期从事办公室工作的713名普通健康人进行比较。对职业机动车驾驶员不同性别、不同年龄段结果比较,对部分驾驶员进行问卷调查。结果 职业机动车驾驶员BMI、空腹血糖实测值及异常检出率均较对照组高(均P<0.05),但血压实测值较对照组高,而异常检出率与对照组差异无统计学意义(P>0.05)。其中职业机动车驾驶员超重与肥胖检出率为72.9%,空腹血糖升高检出率为28.2%,均较对照组高(均P<0.05),血脂异常检出率也达65.1%;男性驾驶员超重与肥胖检出率74.0%、空腹血糖升高检出率29.1%、血脂异常率65.2%,较女性驾驶员高(均P<0.05)。驾驶员超重与肥胖、空腹血糖升高、血脂异常率都随年龄增加呈上升趋势(均P<0.05);血压异常检出率与对照组差异无统计学意义,也没有随年龄增加而增加的趋势(均P>0.05)。问卷调查结果提示,该公司驾驶员存在工作时间较长、下车活动时长不足、三餐不定时、饮水量不够等CVD相关不良健康行为。结论 该公司驾驶员CVD危险因素突出,需引起职业人群和管理者的重视,制定针对性的健康干预方案。
Objective To analyze the examination results of blood pressure,fasting plasma glucose,blood lipid and body mass index(BMI)among professional vehicle divers in a bus company in Chengdu City,then combined with questionnaire survey to provide evidence for health management of cardiovascular disease(CVD)for them.Methods From October to December 2021,a retrospective analysis was performed on the examination results of blood pressure,plasma glucose,blood lipid and BMI among 659 professional vehicle divers in a bus company in Chengdu City,who underwent occupational health examination in the Second Affiliated Hospital of Chengdu Medical College·China National Nuclear Corporation 416 Hospital,and compared with 713 ordinary healthy individuals engaged in office work.The results of occupational motor vehicle drivers in different genders and age groups were compared,and a questionnaire survey was conducted on some drivers.Results The actual measured values and abnormal detection rate of BMI and fasting plasma glucose in professional vehicle divers were higher than those in the control group(all P<0.05),but the actual measured value of blood pressure was higher than that in the control group,and the difference in the abnormal detection rate was not statistically significant between the diver group and the control group(P>0.05).The detection rate of overweight and obesity in professional vehicle divers was 72.9%,and the detection rate of elevated fasting plasma glucose was 28.2%,which were higher than those in the control group(all P<0.05).The detection rate of dyslipidemia was 65.1%.The detection rate of overweight and obesity in male professional vehicle drivers was 74.0%,the detection rate of elevated fasting plasma glucose was 29.1%,and the detection rate of dyslipidemia was 65.2%,which were higher than those in females(all P<0.05). The detection rate of overweight and obesity,elevated fasting plasma glucose and dyslipidemia in drivers increased withage(all P<0.05). The difference in the dyslipidemia was not statistically
作者
陈燕玲
黄薇
魏琴
聂富梅
范雷
孙桃兰
CHEN Yanling;HUANG Wei;WEI Qin;NIE Fumei;FAN Lei;SUN Taolan(Department of Occupational Disease,Second Affiliated Hospital of Chengdu Medical College·China National Nuclear Corporation 416 Hospital,Chengdu Sichuan,610051,China;Health Management Center,Second Affiliated Hospital of Chengdu Medical College·China National Nuclear Corporation 416 Hospital,Chengdu Sichuan,610051,China;Public Health School,Chengdu Medical College,Chengdu Sichuan,610051,China)
出处
《职业与健康》
CAS
2024年第2期180-184,共5页
Occupation and Health
关键词
职业机动车驾驶员
职业健康检查
心血管疾病
危险因素
健康管理
问卷调查
Professional vehicle divers
Occupational health examination
Cardiovascular disease
Risk factors
Health management
Questionnaire survey
