【摘要】 [目的]探讨焦化厂焦炉作业与代谢综合征之间的相关性。[方法]以焦炉作业工人为研究对象,选取男性焦炉作业工人432名,其中炉顶工208名、炉侧工161名和炉底工63名。112名对照选自机电车间工人。检测所有研究对象的身高、体重、血压、血糖、高密度脂蛋白以及三酰甘油水平,按照中华医学会糖尿病分会(CDS)建议的标准诊断代谢综合征。[结果]采用多元Logistic回归分析对各组间年龄、工龄、吸烟和饮酒状况等因素进行校正后,发现炉顶组及炉侧组与对照组相比患代谢综合征的危险度升高,调整OR值分别为3．33(95％可信区间为1．07-10．34)和3．43 (95％可信区间为1．13-10.37);且炉顶组及炉侧组高血压患病率也显著高于对照组(P<0．05),而炉底组危险度未见升高。[结论]炉顶和炉侧作业可增加该作业人群患代谢综合征的危险度。更多还原

【Abstract】 [ Objective ] To study the correlation between metabolic syndrome ( MS ) and coke oven work. [ Methods ] According to the different exposed dose, 432 male coke oven plant workers were divided into there groups--oven-top group, oven-side group and oven-bottom group. 112 male workers from electromechanical workshop were chosen as controls. All subjects accepted health examination including anthropometric characteristics ( body height and weight), blood pressure, blood glucose, high density lipoprotein( HDL ), and triglyceride(TG ). The diagnosis of MS was based on the criterion recommended by Chinese Diabetes Society. [ Results ] After adjusted for age, smoking and drinking with multiple logistic regression analysis, the risk of MS in both oven-top and oven-side groups were found significantly increased, the adjusted OR of MS were 3.33 ( 95% confidence interval 1.07-10.34 ) and 3.43 ( 95% confidence interval 1.13-10.37 ), respectively, The risk not increased in the oven-bottom group. The prevalence of hypertension in the oven-top and oven-side groups was significantly higher than that in the control group. [ Conclusion ] The risk of MS might increase in the coke oven plant workers working on oven-top and oven-side.更多还原