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目的了解铁路机车乘务人员这一特殊工种与慢性疾病的关系,找出防治对策。方法对武汉铁路局襄北机务段全体机车乘务员进行整体健康体检,按照中华人民共和国铁道部《铁路机车乘务员职业健康检查规范》(TB/T 3091-2004),对检查结果进行整理、分析。结果本次共体检2 128名乘务员,身体健康者为29.70%;70.30%的职工为亚健康,血脂偏高者为37.12%、脂肪肝者为31.20%、肝、胆、肾结石为15.37%、血压偏高者为9.26%。各项指标偏高均分布于30~50岁年龄组,这与医学专家调查发现的临床诊断(高血压、冠心病、糖尿病、高脂血症等这些慢性病的发病年龄有提前的趋势,三十多至四十多岁就发病已不为鲜见)相吻合。结论提示慢性疾病在机车乘务人员中也存在着很大的隐患,应引起铁路主管部门的高度重视,查找原因,及时预防与治疗。
Objective To understand the relationship between railway locomotive crew members and chronic diseases, and to find out countermeasures. Methods The overall health examination was carried out for all locomotive crew members of the Wuhan Railway Bureau in the northern part of the Wuhan Railway Administration. According to the “Rules for Occupational Health Inspection of Railway Locomotive Attendants” (TB/T 3091-2004) of the Ministry of Railways of the People’s Republic of China, the inspection results were collated and analyzed. The results of the total physical examination of 2 128 flight attendants, physical health was 29.70%; 70.30% of workers were sub-healthy, high blood lipids were 37.12%, fatty liver was 31.20%, liver, gallbladder, kidney stones was 15.37%, High blood pressure was 9.26%. The indicators are high in the 30 to 50-year-old age group, which is in line with the clinical diagnosis of medical experts (hypertension, coronary heart disease, diabetes, hyperlipidemia, etc. These chronic diseases have an early trend of age, thirty It is not uncommon for morbidity to occur in as many as 40s. The conclusion suggests that chronic diseases also have great hidden dangers among locomotive crew members. It should cause the railway administration department to pay great attention to it, find out the reasons, and promptly prevent and treat them.