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目的为了解常熟市噪声作业岗前体检人员的健康状况,了解各指标的异常检出情况,以便有针对性地进行健康教育和疾病预防。方法根据GBZ 188-2007职业健康监护技术规范,对该市1 901名(男1 539人,女362人)噪声作业人员进行岗前的职业健康检查。结果男女听力异常率无明显差异(P=0.12),男女心电图、肝功能、血常规、血压异常率之间的差异有统计学意义(P<0.01);各指标异常率在不同年龄组间比较,差异有统计学意义(P<0.01);性别组之间在2 000、3 000 Hz处听阈值差异无统计学意义,500、1 000、4 000、6 000 Hz处听阈值差异有统计学意义(P<0.01)。结论应加强噪声作业人员的职业健康检查,尽早发现职业禁忌证,取得听力的基础资料,观察听力变化情况,早期发现听力损伤,及时采取有效的措施。
Objective To understand the health condition of pre-job medical staff in noise work in Changshu City and understand the abnormal detection of each index in order to conduct targeted health education and disease prevention. Methods According to GBZ 188-2007 occupational health monitoring technical specifications, 1 901 (1 539 males and 362 females) noise workers in the city were given pre-job occupational health examination. Results There was no significant difference between male and female hearing abnormalities (P = 0.12). There was significant difference between male and female ECG, liver function, blood routine and abnormal blood pressure (P <0.01). The abnormal rates of each index were compared among different age groups , The difference was statistically significant (P <0.01). There was no significant difference in hearing threshold at 2 000 and 3 000 Hz between gender groups. There was statistical difference in hearing threshold at 500, 1 000, 4 000 and 6 000 Hz Significance (P <0.01). Conclusion Occupational health examination of noise workers should be strengthened, occupation contraindications should be found as soon as possible, the basic information of hearing should be obtained, the hearing changes should be observed, early hearing loss should be found, and effective measures should be taken promptly.