职业与健康 ›› 2025, Vol. 41 ›› Issue (12): 1652-1658.

• 论著 • 上一篇    下一篇

戈壁环境对作业人员身心健康影响的调查

韩博, 杨军, 窦雄, 郭友祥, 王志刚, 王保林   

  1. 中国人民解放军63650部队医院,新疆 乌鲁木齐 841700
  • 收稿日期:2024-09-10 修回日期:2024-09-23 出版日期:2025-06-15 发布日期:2025-12-11
  • 通信作者: 王保林,副主任医师,E-mail:wblwjx@126.com
  • 作者简介:韩博,男,主治医师,主要从事外科与环境医学相关研究工作。
  • 基金资助:
    战略支援部队后勤自主科研项目(ZZCWS23J1025)

Investigation on the influence of Gobi environment on the physical and mental health of workers

HAN Bo, YANG Jun, DOU Xiong, GUO Youxiang, WANG Zhigang, WANG Baolin   

  1. People's Liberation Army 63650 Military Hospital, Urumqi, Xinjiang 841700, China
  • Received:2024-09-10 Revised:2024-09-23 Online:2025-06-15 Published:2025-12-11
  • Contact: WANG Baolin,Associate chief physician,E-mail:wblwjx@126.com

摘要: 目的 探讨戈壁环境对作业人员身心健康的影响,为针对性地制定防护措施提供科学依据。方法 2023年7月—2024年2月随机选取某矿业集团戈壁作业与非戈壁作业人员各100人作为调查对象,分为调查组和对照组。对2组人员进行问卷调查、心理健康测试及健康检查,统计分析2组对象存在的差异并讨论原因。结果 2组患者基线差异无统计学意义,与非戈壁作业组相比,戈壁作业组人均症状数量显著增多(6.13 vs 3.88个,P<0.05),提示其可能出现不适症状的风险更高。戈壁作业组职工出现失眠、乏力、神经系统、呼吸系统、消化系统、视觉、出血倾向的比率均显著高于非戈壁作业组(均P<0.05)。戈壁组职工认为环境影响健康的因素最为突出的是空气(97.00%)、粉尘(97.00%)和水质(96.00%)。在心理健康测试中戈壁组职工出现躯体化、强迫症状、人际关系敏感、焦虑等因子异常的风险均显著高于非戈壁组(均P<0.05)。健康检查发现,戈壁组职工血液平均白细胞总数显著高于非戈壁组(6.55×109/L vs 6.01×109/L),而平均天冬氨酸转氨酶(22.50 vs 24.46 U/L)、尿酸(383.64 vs 407.52 μmol/L)水平均显著低于非戈壁组(均P<0.05)。非戈壁组职工检查异常的比率高于戈壁组(64.89% vs 46.32%),差异有统计学意义(P<0.05)。结论 戈壁特殊环境对作业人员身心健康造成了重大的影响,制度化地向职工普及职业教育、定期组织健康检查、改进完善戈壁作业防护用具、加强医疗保障和心理防护不仅是企业的职责所在,也是建设发展的需要。

关键词: 戈壁, 作业人员, 身心健康, 职业教育

Abstract: Objective To explore the influence of Gobi environment on the physical and mental health of workers,and to provide scientific basis for formulating protective measures. Methods From July 2023 to February 2024,100 workers in Gobi and 100 workers in non-Gobi in a mining group were randomly selected as the investigation group and the control group. Questionnaires,mental health tests and physical examinations were conducted in the two groups,and the differences between the two groups were statistically analyzed and the reasons were discussed. Results There was no significant difference in baseline between the two groups. Compared with the non-Gobi working group,the number of symptoms per capita in Gobi working group increased significantly(6.13 vs 3.88,P<0.05),suggesting that the risk of discomfort may be higher. The incidence of insomnia,fatigue,nervous system,respiratory system,digestive system,vision and bleeding tendency among workers in Gobi operation group was significantly higher than that in non-Gobi operation group(all P<0.05). Workers in Gobi group believed that air(97.00%),dust(97.00%) and water quality(96.00%) were the most prominent environmental factors affecting health. In the mental health test,the risk of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,anxiety and other factors in Gobi group was significantly higher than that in non-Gobi group(all P<0.05). Physical examination showed that the average number of white blood cells in Gobi group was significantly higher than that in non-Gobi group(6.55×109/L vs 6.01×109/L),while the levels of aspartate aminotransferase(22.50 vs 24.46 U/L) and uric acid(383.64 vs 407.52 μmol/L) were significantly lower than that in non-Gobi group(both P<0.05). The abnormal rate of physical examination in non-Gobi group was higher than that in Gobi group(64.89% vs 46.32%),and the difference was statistically significant(P<0.05). Conclusion The special environment of Gobi has a significant impact on the physical and mental health of workers. It is not only the responsibility of enterprises,but also the need of construction and development to systematically popularize vocational education for employees,organize regular health examination,improve and perfect Gobi operation protective equipment,and strengthen medical security and psychological protection.

Key words: Gobi, Operating personnel, Physical and mental health, Vocational education

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