發(fā)布時間：2018-01-29 20:02

  本文關(guān)鍵詞： 油漆工人 血鉛 β_2微球蛋白 影響因素　出處：《中南大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：目的： 描述油漆工人血鉛水平,探討該職業(yè)人群血鉛水平的影響因素以及血鉛對工人健康的影響,為油漆工人的職業(yè)病防治提供依據(jù)。 方法： 本研究采取整群抽樣的方法,分別抽取油漆使用和生產(chǎn)的三一重工集團公司及湘江關(guān)西涂料有限公司的所有油漆工人為樣本,對其進(jìn)行問卷調(diào)查、體格檢查以及生化指標(biāo)的檢測。單因素分析采用方差分析、T檢驗和χ2檢驗,多因素分析采用非條件logistic回歸分析。 結(jié)果： 1、本次調(diào)查參與體檢的人數(shù)為752人,前來體檢的人中參與問卷調(diào)查總?cè)藬?shù)為525人。男性為711人,女性為41人。年齡最大為59歲,最小為18歲,平均為31.66±7.74歲。文化程度主要以中�；蚋咧�(42%)和大專及以上(46.2%)為主。 2、調(diào)查對象血鉛陰性679例,占90.3%,血鉛陽性73例,占9.7%,血鉛陽性者均值為0.0875±0.0550mg/L。 3、血鉛對健康狀況影響的非條件logistic回歸分析結(jié)果顯示：血鉛與類神經(jīng)癥(OR=1.884)、消化系統(tǒng)癥狀(OR=1.899)、末梢神經(jīng)癥狀(OR=2.084)、心電圖異常(OR=2.075)、血壓高(OR=2.042)、微球蛋白增高(OR=2.044)有統(tǒng)計學(xué)關(guān)聯(lián)。 4、血鉛水平相關(guān)影響因素的非條件logistic回歸分析結(jié)果顯示：經(jīng)常吸煙(OR=2.649)、偶爾飲酒(OR=0.538)、偶爾在車間抽煙或飲食(OR=2.027)、經(jīng)常在車間抽煙或飲食(OR=3.587)、抽煙前及飯前偶爾洗手(OR=0.256)、抽煙前及飯前經(jīng)常洗手(OR=0.293)換口罩周期兩周以上(OR=1.895)與血鉛有統(tǒng)計學(xué)關(guān)聯(lián)。 結(jié)論： 1、本次調(diào)查的油漆工人血鉛水平較低,最高值也沒有達(dá)到國家安全血鉛接觸限值,但還是有9.7%的工人血鉛偏高(≥10.04mg/L)。 2、低濃度血鉛暴露(在國家安全血鉛接觸限值以下)也可使工人出現(xiàn)類神經(jīng)癥、消化系統(tǒng)癥狀、末梢神經(jīng)癥狀、心電圖異常、微球蛋白陽性及血壓異常的概率增大。 3、經(jīng)常吸煙、偶爾或經(jīng)常在車間抽煙或飲食、換口罩周期兩周以上是血鉛陽性的危險因素。偶爾飲酒、抽煙前及飯前洗手是血鉛水平降低的因素
[Abstract]:Objective: This paper describes the blood lead level of the paint workers, discusses the influencing factors of the blood lead level and the influence of the blood lead on the health of the workers, and provides the basis for the prevention and treatment of occupational diseases of the paint workers. Methods: In this study, cluster sampling method was used to select all painters from Sany heavy Industry Group and Xiangjiang Kansai Coatings Co., Ltd. The univariate analysis of variance and 蠂 2 test and the multivariate analysis of non-conditional logistic regression were used. Results: 1. The total number of participants in the questionnaire was 525, 711 males and 41 females, the oldest being 59 years old. 1. The total number of participants in the survey was 752, and the total number of participants in the questionnaire was 525. The male was 711, the female was 41. The oldest age was 59 years old. The minimum was 18 years old, with an average of 31.66 鹵7.74 years old. The education level was mainly secondary school or senior high school (46.2%) and junior college (46.2%). 2, 679 cases (90.3%) were negative in blood lead, 73 cases (9.7%) were positive in blood lead, the mean value of blood lead positive was 0.0875 鹵0.0550 mg / L. 3. The results of non-conditional logistic regression analysis on the effect of blood lead on the health condition showed that blood lead and neurogenic disorder were 1.884g, and the digestive system symptoms were 1.899). The symptoms of peripheral nerve were 2.084g, abnormal electrocardiogram (ECG) was 2.075g, and high blood pressure was 2.042). Microglobulin increased OR2. 044) there was a statistical correlation. 4. The results of non-conditional logistic regression analysis on the related factors of blood lead level showed that frequent smoking was 2.649%, and occasionally drinking alcohol was 0.538). Once in a while smoking or eating in the workshop, often smoking or eating in the workshop of 3.587g, before smoking and occasionally washing their hands before eating 0.256). Before smoking and before meals, washing hands before smoking and before meals were 0.293) the period of mask replacement was more than two weeks and 1.895) there was a statistical correlation between blood lead and blood lead. Conclusion: 1. The blood lead level of the painters surveyed was low and the highest value was not up to the national safety limit, but 9.7% of the workers were still high (鈮，

本文編號：1474234