医务人员频繁夜班对血糖、血脂及皮质醇影响的研究进展

Research Progress in the Effect of Frequent Night Shift on Blood Glucose,Blood Lipid and Cortisol in Medical Staff

医护人员由于其特殊的职业性质,不可避免地需要轮班工作,且极易出现职业紧张和职业倦怠现象,快节奏的夜班轮换使医护人员的睡眠节律、饮食以及作息,使机体长期处于睡眠剥夺、生物钟紊乱状态,明显干扰了身体功能,降低工作效率。频繁的夜班轮转,亦可导致肠道应激综合征,血压的昼夜值及节律改变,甚至代谢紊乱、功能性肠胃失调,血糖、三酰甘油和胆固醇亦明显增高,从而增加了心血管疾病及胰岛素抵抗的风险,这些疾病在多数情况下并不是单独发生的,它们相互影响、相互促进而形成恶性循环,这对医务人员的身心健康造成不可忽略的影响,应得到医院管理人员及全社会的关注。

Health care workers, because of the special professional nature, inevitably need to shift work, and prone to have occupational stress and job burnout,and fast-paced night shift causes disorders of sleep rhythm, diet and rest to the health care workers, leaving the body in long-term sleep deprivation, biological clock disorder state, significantly interfering the body function and reducing the work efficiency. Frequent night shift, can also lead to intestinal stress syndrome, blood pressure circadian rhythm changes, and even metabolic disorders, functional gastrointestinal disorders,increased blood sugar, trlglyceride and cholesterol, thereby increasing the risk of cardiovascular disease and insulin resistance, which in most cases do not occur alone, but affect each other, promote each other and form a vicious circle, causing non-negligible impact on the medical staff＇s physical and mental health,therefore deserve due attention from the hospital management and the whole society.