期刊文献+

我国医用诊断X射线工作者高血压危险因素研究 被引量:1

Risk factors of hypertension among medical diagnostic X-ray workers in China
原文传递
导出
摘要 目的 研究我国医用诊断X射线工作者中高血压病发病的危险因素 ,探讨长期职业受照与高血压发病之间的关系。方法 采用整群随机抽样的方法 ,在全国范围内选取 2 88对 1∶2配比的医用诊断X射线工作者高血压患者及相应对照 ,问卷调查各种可能的危险因素 ,归一化工作量法估算累积受照剂量 ,SAS软件COX比例风险模型进行单因素及多因素条件Logistic回归分析。结果 超重 (OR =3 0 87,P =0 0 0 1)、高血压家族史 (OR =3 14 0 ,P =0 0 0 1)、担心从事放射工作有害健康 (OR =1 798,P =0 0 10 )是我国X射线工作者高血压 3个主要危险因素 ;将性别、参加工作年代分层后 ,男性、早期参加放射工作者中较大剂量受照同高血压呈正相关 (OR =5 6 72 ,P =0 0 2 2 )。结论家族史、超重是X射线工作者高血压主要危险因素 ,职业紧张在X射线工作者高血压中发挥一定的作用 。 Objective\ To investigate the risk factors of essential hypertension in medical diagnostic X\|ray workers in China,especially for the relationship between essential hypertension and occupational irradiation. Methods\ A 1∶2 matched case\|control study was carried out.The study subjects consisted of 288 pairs of matched cases and controls coming from different hospitals in China.Information about occupational and non\|occupational risk factors were obtained through questionnaire.Individual doses were estimated by normalized workload method.Conditional Logistic regression method was applied to data analysis with SAS6\^12 software. Results Variables such as overweight (OR=3 087, P =0 001),family history of hypertension (OR=3 140, P =0 001),worring about X\|ray work as a health\|damaging occupation (OR=1 798, P =0 010) were three main risk factors in the ungrouped data.Dividing the study subjects into different subgroups according to sex and calendar period of entry,the highest level of accumulated dose (>300 mGy) as a risk factor had statistically reached significant level in the male X\|ray workers of the earlier period of entry (OR=5 672, P =0 022). Conclusion For medical diagnostic X\|ray workers,overweight,family history of hypertension and occupational stress are the main risk factors of essential hypertension.For those accumulated doses over 300 mGy,indicating ionizing radiation may be a potential risk factor.As there is no reasonable biological mechanism to explain these findings,further studies are needed.
出处 《中华放射医学与防护杂志》 CAS CSCD 北大核心 2002年第4期246-249,共4页 Chinese Journal of Radiological Medicine and Protection
基金 日本体质研究会基金资助项目
关键词 医用诊断X射线工作者 高血压 电离辐射 危险因素 病例对照研究 Medical diagnostic X\|ray workder Essential hypertension \ onizing radiation Risk factors \ \ Case\|control study
  • 引文网络
  • 相关文献

参考文献2

二级参考文献15

  • 1全国医用诊断X射线工作者剂量与效应关系研究协作组.我国医用诊断射线工作者受照剂量及其对健康的影响[J].中华放射医学与防护杂志,1984,4(5):1-13.
  • 2Wang J X,Radiation Protecti Dosimetry,1998年,77卷,1/2期,119页
  • 3Wang Z Q,Radiation Protecti Dosimetry,1998年,77卷,1/2期,87页
  • 4Zhang L,Radiation Protecti Dosimetry,1998年,77卷,1/2期,69页
  • 5全国医用诊断X射线工作者剂量与效应关系研荆谢派湟窖в敕阑ぴ又荆?998年,18卷,2期,113页
  • 6Wang J X,Int J Cancer,1990年,45卷,889页
  • 7Wang J X,J Natl Cancer Inst,1988年,80卷,344页
  • 8全国医用诊断X射线工作者剂量与效应关系研荆谢派湟窖в敕阑ぴ又荆?984年,4卷,5期,1页
  • 9Wong FL, Yamada M,Sasaki H, et al. Noncancer disease incidence in the atomic bomb survivors:1958-1986. Radiat Res, 1993,135: 418-430.
  • 10Shimizu Y, Pierce DA, Preston DL,et al.Studies of the mortality of atomic bomb survivors.report 12, part II. noncancer mortality:1950-1990.Radiat Res ,1999,152:374-389.

共引文献11

同被引文献6

  • 1Belkic KL, Schnall PL, Landsbergis PA, et al. Conclusions and thoughts for a future agenda regarding the workplace and cardiovascular health.Occup Med , 2000,15: 307-321.
  • 2Siegrist J, Peter R, Junge A, et al. Low status control, high effort at work and ischemic heart disease: prospective evidence from blue-collar men.Soc Sci Med,1990,31:1127-1134.
  • 3Zhang L, Jia D, Chang H, et al. A retrospective dosimetry method for occupational dose for chinese medical diagnostic X ray workers. Radiat Prot Dosim, 1998,77(1/2) :69-72.
  • 4Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy.Circulation, 1999,99: 2192-2217.
  • 5Beauchemin KM, Hays P. Dying in the dark: sunshine, gender and outcomes in myocardial infarction. J R Soc Med, 1998,91: 352-354.
  • 6贾卫华,王继先,李本孝,赵永成,张景源.我国医用诊断X射线工作者1950~1995年非肿瘤死亡分析[J].中华放射医学与防护杂志,2002,22(4):239-242. 被引量:12

引证文献1

二级引证文献8

;
使用帮助 返回顶部