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目的研究某焦化厂接触多环芳烃的焦炉工代谢综合征(MS)的患病情况。方法选取接触多环芳烃的焦炉工人269名作为暴露组,并将暴露组分为炉顶组110名,炉侧组80名,炉底组79名;选择不接触多环芳烃的该厂工龄10年以上的工人174名作为对照组。检测所有研究对象的身高、体重、血压、血糖、高密度脂蛋白以及甘油三酯水平,按照中华医学会糖尿病分会建议的标准诊断MS。结果炉顶组与炉侧组高血压患病率显著高于对照组;炉顶组及炉侧组与对照组相比,患MS的危险度升高,调整OR值分别为3.13和3.03。结论职业接触多环芳烃可能促进了MS的发生。
Objective To study the prevalence of metabolic syndrome (MS) in coke oven workers exposed to polycyclic aromatic hydrocarbons (PAHs) in a coking plant. Methods A total of 269 coke oven workers exposed to PAHs were selected as the exposure group, and the exposed components were 110 in the top group, 80 in the furnace group and 79 in the bottom group. The service life 174 workers over 10 years as a control group. All subjects were tested for height, weight, blood pressure, glucose, high density lipoprotein, and triglyceride levels, and MS was diagnosed in accordance with the recommendations of the Diabetes Branch of the Chinese Medical Association. Results The prevalence of hypertension was higher in the top group and the furnace side group than in the control group. The risk of MS was higher in the top group and the furnace side group compared with the control group, and the adjusted OR was 3.13 and 3.03 respectively. Conclusion Occupational exposure to polycyclic aromatic hydrocarbons may promote the occurrence of MS.