异地亚高原气候改变对煤矿工人健康的应激影响分析

The effect of climate change on the health of coal miners is analyzed

目的分析地处异地亚高原低压干燥气候改变相关危险因素对煤矿工人健康的应激影响,为身在异地亚高原气候对煤矿工人应激影响的疾病综合防治提供依据。方法用单纯随机方法,从2012年1月—2016年7月健康体检人群中抽取20岁以上在本地血压、睡眠、胃肠功能正常,异地亚高原海拔气候改变出现血压、睡眠、胃肠功能异常为健康对照组,同时随机抽取在本地患高血压,异地出现高血压、睡眠、胃肠功能异常加重作为高血压应急组。用自制调查表对两组人员进行亚高原气候反应、高血压家族史、伴随症状、劳动强度、运动状况进行问卷调查。结果两组在亚高原气候反应、高血压家族史、心脏脑血管疾病及三种代谢性疾病、劳动强度及运动状况方面有差异;相关分析提示,亚高原气候反应及相关因素对煤矿工人健康有直接影响。结论亚高原反应性高血压、亚高原干燥气候反应性高粘稠血症、亚高原反应性缺血性肠易激症、亚高原低压干燥气候反应性失眠症与家族史、伴随病史、劳动强度及运动状况有影响关系。

Objective: To analyze the stress effect of climate change related risk factors on the health of coal miners in the sub plateau low pressure dry climate,to provide the basis for the comprehensive prevention and treatment of the diseases affected by coal miners' stress in the sub plateau climate. Method: With simple random method. From January 2012 to July2016 healthy check-up crowd to extract more than 20 years old in the local blood pressure,sleep,normal gastrointestinal function,long distance and the plateau climate change in blood pressure,sleep,abnormal gastrointestinal function as the healthy control group,randomly in local risk of high blood pressure at the same time,long distance in high blood pressure,sleep,gastrointestinal dysfunction aggravated as hypertensive emergency group. A questionnaire survey was conducted on the subplateau climate response,family history of hypertension,accompanying symptoms,labor intensity and physical activity of the two groups. Results: There was a difference between the two groups in the sub-plateau climate response,family history of hypertension,cardiovascular and cerebrovascular diseases,and three metabolic diseases,labor intensity and physical activity. Related analysis suggests that the climate response and related factors of the subplateau have a direct effect on the health of coal miners. Conclusion: The dry climate of the plateau reactivity to high blood pressure,the plateau reactive high viscous hematic disease,the plateau response ischemic bowel disease,dry climate of the plateau reactivity of insomnia and family history,with history,the influence of the intensity of labor and the status of the movement.