1033例在岗职业健康体检人员单次尿检异常影响因素分析
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摘要
目的调查1 033例在岗职业健康人员单次尿常规异常情况,并分析其影响因素。方法采用干化学对尿液进行检测,共筛查出146例尿检异常者,对其影响因素进行Logistic回归分析。结果单因素Logistic回归分析显示,尿检异常与性别、高血压、年龄、工龄、多种职业危害因素呈相关性。多因素Logistic回归分析显示,女性、高血压、年龄51岁～65岁、工龄11年～20年、多种职业危害因素是主要影响因素。结论肾脏病防治重点人群应该包括女性、高血压、年龄51岁～65岁、工龄11年～20年、多种职业危害因素接触者。
Objective To investigate abnormal results of single urinalysis in 1 033 occupational healthy workers and to analyze the influencing factors. Methods A total of 146 cases with abnormal urinalysis were found with dry chemistry. Logistic regression analysis was used to analyze the influencing factors. Results The single factor Logistic regression analysis showed that abnormal urinalysis was related to gender, hypertension, age, working age, and multiple occupational hazards factors. Multivariate factor Logistic analysis revealed that female, hypertension, age within 51-65, work age in 11-20 years, and multiple occupational hazards factors were the main factors. Conclusion Prevention and treatment in kidney disease should be focused on those who are female, hypertension, age within 51-65, work age in 11-20 years, and those exposed to multiple occupational hazards factors.
Objective To investigate abnormal results of single urinalysis in 1 033 occupational healthy workers and to analyze the influencing factors. Methods A total of 146 cases with abnormal urinalysis were found with dry chemistry. Logistic regression analysis was used to analyze the influencing factors. Results The single factor Logistic regression analysis showed that abnormal urinalysis was related to gender, hypertension, age, working age, and multiple occupational hazards factors. Multivariate factor Logistic analysis revealed that female, hypertension, age within 51-65, work age in 11-20 years, and multiple occupational hazards factors were the main factors. Conclusion Prevention and treatment in kidney disease should be focused on those who are female, hypertension, age within 51-65, work age in 11-20 years, and those exposed to multiple occupational hazards factors.
引文
[1] 余巧利,周敏.重庆市长寿区2006-2014年职业病发病情况分析[J].中国公共卫生管理,2016,32(2):237-238.
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[3] 黄燕,杨丽莉,孙艳花,等.《职业健康监护技术规范》(GBZ188—2014)适用性的探讨[J].中国工业医学杂志,2015,28(5):387-388.
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[14] 孙世仁.浅谈慢性肾脏病患者血压管理的策略[J].肾脏病与透析肾移植杂志,2015,24(4):358-359.
[15] 杨禹娟,林杰,林书坡,等.辽宁省省直机关老年人群肾功能情况调查及与代谢相关危险因素分析[J].中国老年学杂志,2012,32(1):30-32.
[16] 任勇,蔡红婷,卢茵.某石化企业10327名加油站员工职业健康检查结果分析[J].中国卫生检验杂志,2018,28(1):117-119.
[17] 高盛庭.职业病危害因素联合作用对劳动者健康的影响[J].中国现代医药杂志,2017,19(7):41-42.
[18] 孙菊华,杨志强,袁华平,等.职业接触二甲基甲酰胺人群体检结果分析[J].中国卫生检验杂志,2016,26(11):1654-1655.
[19] 陈婉霞,黄燕玲,谢迎庆,等.2016年佛山市重点职业病职业健康风险评估结果分析[J].现代预防医学,2017,44(10):1766-1768.
[20] 冯鸿义,张捷,金宇星.江阴市2015年职业病诊断情况分析[J].中国公共卫生管理,2016,32(4):520-529.
[2] 张袁凌.关于我国职业病危害防治工作的若干思考和建议[J].中国农村卫生事业管理,2014,34(6):696-697.
[3] 黄燕,杨丽莉,孙艳花,等.《职业健康监护技术规范》(GBZ188—2014)适用性的探讨[J].中国工业医学杂志,2015,28(5):387-388.
[4] 黄华.《新编实用临床检验指南》[J].临床检验杂志:电子版,2013,2(4):484-484.
[5] 肖月,隋宾艳,赵琨.我国终末期肾病现状及透析技术的应用、费用及支付情况分析[J].中国卫生政策研究,2011(4):29-33.
[6] Ramirez SP,Mcclellan W,Port FK,et al.Risk factors for proteinuria in a large,multiracial,southeast Asian population[J].J Am Soc Nephrol,2002,13(7):1907-1917.
[7] Garg AX,Kiberd BA,Clark WF,et al.Albuminuria and renal insufficiency prevalence guides population screening:Results from the NHANES Ⅲ[J].Kidney Int,2002,61(6):2165-2175.
[8] Chen N,Wang W,Huang Y,et al.Community-based study on CKD subjects and the associated risk factors[J].Nephrol Dial Transplant,2009,24(7):2117-2123.
[9] Zhang L,Wang F,Wang L,et al.Prevalence of chronic kidney disease in China:a cross-sectional survey[J].Lancet,2012,379(9818):815-822.
[10] 谢凤燕,解加泳,王立珍,等.16858例成年体检人群单次尿液和肾功能检查结果及临床意义[J].医学研究生学报,2013,26(2):160-163.
[11] 薛宁,丁小强,钟一红,等.20665例普通人群单次尿液和肾功能检查结果及其意义探讨[J].肾脏病与透析肾移植杂志,2010,19(2):116-120.
[12] 孙琪,沈淑琼,许树根,等.厦门市高中生尿检流行病学调查[J].中国中西医结合肾病杂志,2017,18(3):254-255.
[13] 冯洪杰,甘亚第,刘佳,等.某区焊接作业工人健康状况调查分析[J].中国卫生检验杂志,2017,27(24):3631-3633.
[14] 孙世仁.浅谈慢性肾脏病患者血压管理的策略[J].肾脏病与透析肾移植杂志,2015,24(4):358-359.
[15] 杨禹娟,林杰,林书坡,等.辽宁省省直机关老年人群肾功能情况调查及与代谢相关危险因素分析[J].中国老年学杂志,2012,32(1):30-32.
[16] 任勇,蔡红婷,卢茵.某石化企业10327名加油站员工职业健康检查结果分析[J].中国卫生检验杂志,2018,28(1):117-119.
[17] 高盛庭.职业病危害因素联合作用对劳动者健康的影响[J].中国现代医药杂志,2017,19(7):41-42.
[18] 孙菊华,杨志强,袁华平,等.职业接触二甲基甲酰胺人群体检结果分析[J].中国卫生检验杂志,2016,26(11):1654-1655.
[19] 陈婉霞,黄燕玲,谢迎庆,等.2016年佛山市重点职业病职业健康风险评估结果分析[J].现代预防医学,2017,44(10):1766-1768.
[20] 冯鸿义,张捷,金宇星.江阴市2015年职业病诊断情况分析[J].中国公共卫生管理,2016,32(4):520-529.