李倩兰, 周金鹏, 张方方, 冯文艇. 241名船员血液生化指标检查结果对照分析[J]. 职业卫生与应急救援, 2020, 38(5): 493-496. DOI: 10.16369/j.oher.issn.1007-1326.2020.05.014
引用本文: 李倩兰, 周金鹏, 张方方, 冯文艇. 241名船员血液生化指标检查结果对照分析[J]. 职业卫生与应急救援, 2020, 38(5): 493-496. DOI: 10.16369/j.oher.issn.1007-1326.2020.05.014
LI Qianlan, ZHOU Jinpeng, ZHANG Fangfang, FENG Wenting. Analysis of blood biochemical indexes of 241 seamen[J]. Occupational Health and Emergency Rescue, 2020, 38(5): 493-496. DOI: 10.16369/j.oher.issn.1007-1326.2020.05.014
Citation: LI Qianlan, ZHOU Jinpeng, ZHANG Fangfang, FENG Wenting. Analysis of blood biochemical indexes of 241 seamen[J]. Occupational Health and Emergency Rescue, 2020, 38(5): 493-496. DOI: 10.16369/j.oher.issn.1007-1326.2020.05.014

241名船员血液生化指标检查结果对照分析

Analysis of blood biochemical indexes of 241 seamen

  • 摘要:
    目的 分析船员血液生化指标检查结果,探讨主要的异常指标,提出针对性的预防保健措施。
    方法 选择深圳市某能源集团船舶作业公司的241名男性船员作为观察组,选择某医院的236名男性医生作为对照组,对两组人员进行血液生化指标检查,并对结果进行分析。
    结果 观察组人员总胆固醇(TC)偏高(占21.58%)、甘油三酯(TG)偏高(占19.92%)、低密度脂蛋白胆固醇(LDL-C)偏高(占17.84%)、直接胆红素(DBIL)偏高(占19.92%)、总胆红素(TBIL)偏高(占21.16%)、肌酸磷酸激酶(CK)偏高(占12.86%)、血尿酸(BUA)偏高(占19.92%)的检出率均高于对照组(分别为9.75%、10.59%、7.20%、11.02%、10.17%、4.24%、7.63%,P < 0.01);两组人员的高密度脂蛋白胆固醇(HDL-C)、空腹血糖(FBG)、餐后2 h血糖(PBG)、血清丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、间接胆红素(IBIL)、肌酐(Cr)、尿素氮(BUN)、乳酸脱氢酶(LDH)、肌酸磷酸激酶同工酶(CK-MB)、α-羟丁酸脱氢酶(α-HBDH)异常检出率的差异均无统计学意义(P > 0.05)。
    结论 船员血液生化指标检查结果表现出以血脂代谢紊乱、胆红素增高、CK增高和BUA增高为主的改变,这些改变是船员的膳食结构、职业性噪声接触、心理健康状况较差、轮班作业和不良生活习惯(例如吸烟、饮酒、缺乏必要的健身运动)等多种因素共同作用的结果。船员应注意调整膳食结构,加强对噪声的个人防护,保持积极乐观的心态,养成良好的生活习惯,并定期进行健康监护,以改善个人健康状况。

     

    Abstract:
    Objective To analyze blood biochemical indexes of 241 seamen and discuss main anomaly indexes and put forward related prevention and healthcare measures.
    Methods Totally 241 male seamen from an ocean shipping company of an energy group in Shenzhen were selected for the observation group, and another 236 male medical staff were selected for the control group. Blood biochemical index tests were conducted and related results were analyzed.
    Results The abnormality (unusually high)of total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C), direct bilirubin (DBIL), total bilirubin (TBIL), creatine kinase (CK) and blood uric acid (BUA) of seamen in observation group were 21.58%, 19.92%, 17.84%, 19.92%, 21.16%, 12.86%, and 19.92%, respectively, significantly higher than those of the control group (9.75%, 10.59%, 7.20%, 11.02%, 10.17%, 4.24% and 7.63%, respectively)(P < 0.01). No significant differences were observed in abnormal rates of the remaining indexes between observation group and control group (P > 0.05).
    Conclusion Blood biochemical indexes represented changes mainly characterized by lipid metabolism disorder, high bilirubin, CK and BUA, which was probably due to multiple factors, such as dietary pattern, occupational noise exposure, worse mental health status, work in shifts and unhealthy living habits like smoking, drinking and insufficient body-exercise. Therefore, seamen should adjust dietary pattern, strengthen personal protection from noise, maintain positive and optimistic mental state, develop healthy living habits and be regularly implemented health surveillance in order to improve personal health status.

     

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