职业因素与冠心病发病关系的病例对照研究

A CaseControl Study on Relationship between Occupational Factors and Coronary Heart Disease

为了研究职业因素与冠心病发病的关系，本文应用１１配对病例对照研究方法对职业因素与冠心病之间关系进行了研究。共对１５０对资料进行了单因素分析、叉生分析、条件Ｌｏｇｉｓｔｉｃ回归分析。结果显示：（１）劳动类型中的脑力劳动（ＯＲ＝２．９３）、职业类型中的企事业管理人员（ＯＲ＝３．１０）、接触职业性有害因素种类中的工作紧张（ＯＲ＝２．４３）、有机溶剂（ＯＲ＝９．５０）与冠心病的发病密切相关，其中脑力劳动可能是冠心病的重要危险因素；（２）脑力劳动、企事业管理人员、工作紧张与高血压。

A matched casecontrol method was used to identify the relationship between occupational factors and coronary heart disease(CHD).The data form 150 pairs of cases were analysed with Chisquare test,two factors and conditional Logistic regression model.The results showed that the mental labour in type of work(OR=293),the management in sort of work(OR=310),high work pressure in occupational hazard factors(OR=243)and organic solvent in chemical exposure(OR=950)had close relationship with CHD;among them,the mental labour might be the most important risk factor,and there were some synergic effect between other factors mentioned above and hypertension,hyperlipoidemia.