天津铁路疾控所辖区内高铁工作人员健康状况调查

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英文篇名：Investigation on physical health condition of CRH staff in jurisdiction of Tianjin Railway Center for Disease Control and Prevention 作者：周勃 英文作者：ZHOU Bo;Laboratory of Physical Examination Center,Tianjin Railway Center for Disease Control and Prevention of Beijing Railway Bureau; 关键词：高铁工作人员 ; 健康检查 ; 乘务员 ; 机车司机 英文关键词：CRH staff;;Health examination;;Crew;;Locomotive driver 中文刊名：ZYJK 英文刊名：Occupation and Health 机构：北京铁路局天津铁路疾病预防控制所体检中心实验室; 出版日期：2019-07-01 出版单位：职业与健康 年：2019 期：v.35 语种：中文; 页：ZYJK201913006 页数：5 CN：13 ISSN：12-1133/R 分类号：28-32

摘要

目的了解北京铁路局天津铁路疾病预防控制所(简称"天津铁路疾控所")辖区内高铁乘务员和机车司机的健康状况。方法选取2017年在天津铁路疾控所辖区内进行健康检查的高铁工作人员361人,依照职业分工分为乘务员和机车司机2组,同时选取普通乘务员、内燃机司机、普通电力机车司机作为对照组,按性别、年龄分层,对其健康检查结果分别进行统计分析。结果与普通乘务员相比较,高铁乘务员在体重、身高、体质指数(BMI)、收缩压、舒张压、血红蛋白(HGB)、红细胞计数(RBC)、血小板计数(Plt)、平均红细胞体积(MCV)、平均血红蛋白含量(MHC)、平均血红蛋白浓度(MCHC)、血细胞比容(Hct)、白蛋白(Alb)、甘油三酯(TG)、丙氨酸氨基转移酶(ALT)、直接胆红素(D-Bil)、r-谷氨酰基转移酶(r-GT)、碱性磷酸酶(ALP)、乳酸脱氢酶(LDH)、肌酐(Cr)、游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺激素(TSH)结果的差异均有统计学意义(均P<0.05)。高铁乘务员BMI、RBC、HCT、ALT、FT3、FT4正常率均高于普通列车乘务员,差异有统计学意义(P<0.05),其他项目差异无统计学意义(P>0.05),其中女性高铁乘务员Hct正常率最低,为85.97%,男性高铁乘务员BMI正常率最低,为65.75%。3组机车司机的健康检查项目比较,体重、身高、TP、TG、ALT、总胆红素(T-Bil)、D-Bil、ALP、FT3、FT4的差异均有统计学意义(均P<0.05),空腹血糖(Glu)和天冬氨酸氨基转移酶(AST)的正常率低于对照组(P<0.05),高铁司机正常率较低的健康检查项目结果依次为BMI(28.36%)、TG(55.22%)、舒张压(67.16%)、ALT(70.15%)、Glu(71.64%)。结论高铁乘务员健康状况良好,高铁司机的健康状况不容乐观,但与普通机车司机相比差异不明显。
        Objective To understand physical health status of CRH crew and locomotive drivers in jurisdiction of Tianjin Railway Center for Disease Control and Prevention of Beijing Railway Bureau. Methods 361 CRH staff in jurisdiction of Tianjin Railway Center for Disease Control and Prevention of Beijing Railway Bureau who took physical examination in 2017 were selected, and were divided into crew member group and locomotive driver group according to occupational division. While the ordinary crew,the engine driver and the common electric locomotive driver were selected as the control group, stratified by sex and age, whose results of physical examination report were analyzed statistically. Results There were statistically significant differences in body weight, height, body mass index(BMI), systolic blood pressure, diastolic blood pressure, hemoglobin(HGB), red blood cell count(RBC), platelet count(Plt), mean corpuscular volume(MCV), mean hemoglobin content(MHC), mean hemoglobin concentration(MCHC),hematocrit(Hct), albumin(Alb), triglyceride(TG), alanine aminotransferase(ALT), direct bilirubin(D-Bil),r-glutamyltransferase(r-GT), alkaline phosphatase(ALP), lactate dehydrogenase(LDH), creatinine(Cr), free triiodothyronine(FT3), free thyroxine(FT4) and thyroid stimulating hormone(TSH) between ordinary crew and CRH crew(all P<0.05). The normal rates of BMI, RBC,HCT, ALT, FT3 and FT4 in CRH crew were higher than those in ordinary crew, and the differences were statistically significant(P<0.05), while there were no statistically significant differences in other items(P>0.05). The normal rate of Hct was the lowest in female CRH crew(85.97%), and the normal rate of BMI was the lowest in male CRH crew(65.75%). There were statistically significant differences in body weight, height, TP, TG, ALT, total bilirubin(T-Bil), D-Bil, ALP, FT3 and FT4 among three locomotive driver groups(all P<0.05). The normal rates of fasting blood glucose(Glu) and aspartate aminotransferase(AST) were lower than those of the control gro up(P<0.05). The health examination items with lower normal rate in CRF drivers were BMI(28.36%), TG(55.22%), diastolic blood pressure(67.16%), ALT(70.15%) and Glu(71.64%). Conclusion The health of CRF crew is good, and the health of CRF drivers is not optimistic, but there is no significant difference between CRF drivers and ordinary locomotive drivers.

引文

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