镇江市2016年在岗职工职业健康体检心电图分析
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摘要
目的探讨镇江市在岗职工职业健康体检心电图异常检出情况,为职业健康监护提供临床数据。方法选取2016年在镇江市疾控中心进行职业健康体检的19 928名受检者心电图资料,分为5个年龄组,进行同年龄组不同性别、不同年龄组同性别和不同工种异常心电图的统计分析。结果男性心电图异常检出率在18～57岁四个年龄组中均高于女性(P<0.01)。男性职工除窦性心动过速外,其余10种心电图异常检出率均随年龄增长而逐渐升高或降低(P<0.01)。女性职工除ST-T改变、一度房室传导阻滞和室性早搏外,其余8种心电图异常检出率均随年龄增长而逐渐升高或降低(P<0.05)。不同环境下作业人员心电图异常检出率差异有统计学意义(χ~2=23.678,P<0.01),高温环境下最高。结论心电图异常检出率与性别、年龄及作业环境有较密切关系,定期健康体检对在岗职工心血管疾病的预防有积极意义。
Objective To investigate the abnormal electrocardiogram(ECG) of occupational health examination in Zhenjiang,provide clinical data for occupational health monitoring.Methods Electrocardiogram(ECG) data of 19 928 subjects who were examined in Zhenjiang CDC in 2016 were selected as the subjects,they divided into 5 groups,and the analysis of abnormal electrocardiogram of different sex and different age groups in the same age group and different age groups were carried out.Results The detection rates of male ECG abnormalities were higher from 18 to 58 years old than those in four age groups for female(P<0.01).The detection rates of the other 10 abnormal electrocardiogram types in males except for sinus tachycardia were gradually increased or decreased with age(P<0.01).Except for ST-T change,one degree atrioventricular block and ventricular premature beat,the other 8 abnormal types of electrocardiogram were gradually increased or decreased with age(P<0.05).The detection rate of abnormal electrocardiogram was different in different environments(χ~2=23.678,P<0.01),and the highest in high temperature environment.Conclusion The detection rate of abnormal electrocardiogram is closely related to gender,age and working environment.Regular physical examination is positive significance to the prevention of cardiovascular diseases.
Objective To investigate the abnormal electrocardiogram(ECG) of occupational health examination in Zhenjiang,provide clinical data for occupational health monitoring.Methods Electrocardiogram(ECG) data of 19 928 subjects who were examined in Zhenjiang CDC in 2016 were selected as the subjects,they divided into 5 groups,and the analysis of abnormal electrocardiogram of different sex and different age groups in the same age group and different age groups were carried out.Results The detection rates of male ECG abnormalities were higher from 18 to 58 years old than those in four age groups for female(P<0.01).The detection rates of the other 10 abnormal electrocardiogram types in males except for sinus tachycardia were gradually increased or decreased with age(P<0.01).Except for ST-T change,one degree atrioventricular block and ventricular premature beat,the other 8 abnormal types of electrocardiogram were gradually increased or decreased with age(P<0.05).The detection rate of abnormal electrocardiogram was different in different environments(χ~2=23.678,P<0.01),and the highest in high temperature environment.Conclusion The detection rate of abnormal electrocardiogram is closely related to gender,age and working environment.Regular physical examination is positive significance to the prevention of cardiovascular diseases.
引文
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[18] 米书云,李伟强.某市975名医院放射诊疗工作人员B超、心电图结果分析[J].中国卫生标准管理,2017,8(14):120-121.
[2] 丁素英.郑州市12375例健康体检者心电图分析[J].河南预防医学杂志,2013,24(6):450-453,456.
[3] 王新花,刘梅军.925名冶金化工企业在岗职工职业健康体检心电图结果分析[J].吉林医学,2013,34(23):4740-4741.
[4] 张树龙.自主神经与心律失常[J].江苏实用心电学杂志,2012,21(6):389-407.
[5] 董宁,孙玉敏.10050例体检心电图分析[J].延安大学学报(医学科学版),2014,12(1):55-56.
[6] 葛均波,徐永健.内科学[M].北京:人民卫生出版社,2013:182.
[7] 王燕舞.健康体检1200例心电图结果分析[J].基层医学论坛,2016,20(6):791-792.
[8] 邬凤维,赵华,胡晓容,等.铁路职工健康体检心电图分析[J].吉林医学,2013,34(19):3862-3863.
[9] 吴钦丹,洪文皓,陈德芳.心电图短PR间期在体检人群中的观察分析[J].福建医药杂志,2015,37(2):139-141.
[10] Al Raoof Bsoul A,Ward K,Najarian K,et al.A unified signal processing and machine learning method for detection of abnormal heart beats using electrocardiogram[C].IEEE:International Conference on Bioinformatics and Biomedicine Workshops (BIBMW),2010.
[11] 刘童,秦方,郑志洁,等.儿童与成年人心电图右束支传导阻滞的临床分析[J].中华妇幼临床医学杂志(电子版),2016,12(6):699-670.
[12] 陈新.黄宛临床心电图学[M].北京:人民卫生出版社,2009:378-379.
[13] David I,Aaron L,Stephanie S.Electrocardiogram features for detection of abnormal cardiac events[J].Journal of Electrocardiology,2010,43(6):642-643.
[14] 柳俊,王莺.明明白白心电图[M].广东:科技出版社,2009:128-130.
[15] 黄鲁众,杨腾飞,黄晶晶,等.高温作业对工人心电图影响的Meta分析[J].中国循证医学杂志,2011,11(2):174-180.
[16] 兰烽,任永华,兰宏杰.高温作业人员心电图检查结果分析[J].海峡预防医学杂志,2014,20(1):74-75.
[17] 王敏.接触噪声作业人员心电图检查结果分析[J].中国疗养医学,2016,25(4):401-402.
[18] 米书云,李伟强.某市975名医院放射诊疗工作人员B超、心电图结果分析[J].中国卫生标准管理,2017,8(14):120-121.