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职业相关因素与冠心病关系的病例-对照研究 被引量:4

A Case-control Study on the Relationship between the Occupation-related Factors and Coronary Heart Disease.
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摘要 目的探讨职业相关因素与冠心病发病的关系。方法选自天津医科大学总医院等4所教学医院心内科的102例冠心病病人,并按相同比例选自上述4所医院均无内分泌系统及心血管系统疾病的同期住院病人102例做为对照,进行病例鄄对照研究。结果单因素非条件Logistic回归分析结果表明,职业、文化程度是冠心病发生的危险因素,OR值分别为2.770穴95%可信区间1.700~4.513雪、1.279穴95%可信区间1.041~1.572雪,P值分别为0.000熏0.019。劳动强度、持续锻炼年限是保护因素,OR值分别为0.497穴95%可信区间0.327~0.757雪、0.577穴95%可信区间0.379~0.878雪,P值分别为0.001熏0.010。经多因素非条件Logistic回归分析,仍具有统计学意义的是职业和持续锻炼年限,OR值分别为2.640穴95%可信区间1.332~5.232雪、0.571穴95%可信区间0.364~0.894雪,P值分别为0.001熏0.010。结论职业与冠心病的发生有关,脑力劳动者患冠心病的危险性比体力劳动者高。持续锻炼年限越长,患冠心病的危险性越小。 Objective In order to study the occupation-related factors and coronary heart disease(CHD). Methods The data of 102 paired subjects was obtained from four affiliated hospitals of Tianjin Medical University. Results The Results of univariate non-conditional Logistic Regression Analysis showed that occupation and culture were the risk factors for CHD. The OR value was 2.770(95%CI 1.700~4.513, P value 0.000) and 1.279(95%CI 1.041~1.572, P value 0.019), respectively. The intensity of work and the years of continuous exercise were the protective factors for CHD, the OR value was 0.497(95%CI 0.327~0.757, P value 0.001) and 0.577?穴95%CI 0.379~0.878, P value 0.010), respectively. The results of multivariate unconditional logistic regression analysis showed that there was still a statistic significance in the relation of CHD with occupation and the years of continuous exercise, the OR value was 2.640(95%CI 1.332~5.232, P value 0.001) and 0.571(95%CI 0.379~0.878, P value 0.010), respectively. Conclusion CHD was associated with occupation; the mental workers were more liable to CHD than the physical workers were. And the longer the years of continuous exercise were, the less the opportunity of getting CHD was.
出处 《中国慢性病预防与控制》 CAS 2004年第3期110-112,共3页 Chinese Journal of Prevention and Control of Chronic Diseases
关键词 冠心病 职业 文化程度 体力活动 病例-对照研究 Coronary heart disease(CHD) Occupation Culture Physical activity, Case-control study
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