本文選題：血鉛 + 血壓��； 參考：《中國(guó)職業(yè)醫(yī)學(xué)》2017年01期

【摘要】：目的分析蓄電池企業(yè)鉛接觸工人血鉛水平對(duì)職業(yè)健康檢查有關(guān)指標(biāo)的影響。方法采用判斷抽樣法,以412名蓄電池企業(yè)鉛接觸工人為研究對(duì)象,根據(jù)血鉛水平分為100.0、100.0~、200.0~、300.0~和400.0~μg/L組,分析血鉛水平對(duì)工人的臨床癥狀、心電圖、尿常規(guī)、血壓、肝功能和血常規(guī)等指標(biāo)的影響。結(jié)果 412名工人血鉛水平中位數(shù)和第25、75百分位數(shù)[M(P25,P75)]為169.0(76.6~320.4)μg/L,血鉛超標(biāo)(血鉛水平≥400.0μg/L)率為12.6%,男性工人血鉛水平高于女性工人[225.8(91.3,351.2)vs 131.0(64.6,248.9)μg/L,P0.01]。女性工人中,血鉛水平100.0μg/L組的心電圖異常率低于400.0~μg/L組(6.7%vs 41.2%,P0.005),血鉛水平100.0μg/L組的舒張壓水平低于300.0~μg/L組[(78.4±11.7)vs(72.6±5.6)mm Hg,P0.01]。Spearman相關(guān)分析結(jié)果顯示,尿β2-微球蛋白水平與血鉛水平無(wú)相關(guān)關(guān)系[秩相關(guān)系數(shù)(rS)=-0.044,P=0.82],診斷性驅(qū)鉛試驗(yàn)24 h尿鉛水平與血鉛水平呈正相關(guān)關(guān)系(rS=0.657,P0.01)。結(jié)論血鉛對(duì)女性心血管的影響較男性明顯,常規(guī)的肝功能指標(biāo)和尿常規(guī)(尿蛋白)指標(biāo)不能早期反映鉛的肝、腎毒性。
[Abstract]:Objective to analyze the effect of blood lead level on occupational health examination in battery factory. Methods 412 lead-exposed workers in battery enterprises were divided into two groups according to their blood lead levels: 300.0- and 400.0- 渭 g / L groups. The clinical symptoms, electrocardiogram, urine routine and blood pressure were analyzed. The effect of liver function and blood routine. Results the median and 75th percentile of blood lead in 412 workers [M (P25 P75)] were 169.0 渭 g / L (76.60.320.4) 渭 g / L, the rate of blood lead exceeding the standard (blood lead level 鈮，

本文編號(hào)：2077205