油田野外作业工人慢性疾病调查及职业紧张与神经递质的相关性研究

目的:调查油田野外作业工人慢性疾病患病情况,分析职业紧张与神经递质的相关性。方法:通过整群抽样的方式选取油田野外作业工人2000例作为研究对象,采用自制的慢性非传染性疾病调查量表对所有工人的慢性疾病情况予以调查,采用职业紧张量表对所有工人的职业紧张情况予以调查。采用酶联免疫吸附法检测所有工人血清五羟色胺、去甲肾上腺素以及神经肽Y水平,并采用偏相关分析油田野外作业工人职业紧张与神经递质的相关性。结果:2000例油田野外作业工人慢性疾病发病率最高的前三种疾病分别为颈腰部疾病、高血压、高血脂,占比分别为20.60%、15.35%、11.20%。油田野外作业工人中男性职业任务、个体应对资源评分高于女性,而锻炼工人的个体紧张反应评分低于不锻炼工人(P0.05)。油田野外作业工人中饮酒工人神经肽Y水平低于不饮酒工人,锻炼工人的去甲肾上腺素水平高于不锻炼工人(P0.05)。经偏相关分析可得:油田野外作业工人的职业任务评分与五羟色胺、去甲肾上腺素水平呈正相关(P0.05),个体紧张反应评分与神经肽Y水平呈负相关(P0.05)。结论:油田野外作业工人慢性疾病患病情况不容乐观,且其职业紧张与神经递质存在密切相关,在临床工作中可通过改善油田野外作业工人的职业紧张,从而达到改善其神经递质水平的目的。

Investigation of Chronic Diseases of Oilfield Field Workers and Correlation between Occupational Stress and Neurotransmitter

ABSTRACT Objective: To investigate the prevalence of chronic diseases among field workers and analyze the correlation between occupational stress and neurotransmitters. Methods: 2000 oilfield field workers were selected as observation objects by cluster sampling, and the chronic diseases of all workers were investigated by using the self-made chronic noncommunicable disease survey scale, and the occupational stress scale was used to investigate the occupational stress of all workers. The levels of serum serotonin, norepinephrine and neuropeptide Y were measured by enzyme-linked immunosorbent assay. The correlation between occupational stress and neurotransmitters in oilfield field workers was analyzed by partial correlation analysis. Results: The first three diseases with the highest incidence of chronic diseases among 2000 oilfield field workers were neck, waist, hypertension and hyperlipidemia, accounting for 20.60%, 15.35% and 11.20% respectively. Among oilfield field workers, the scores of male occupation task and individual coping resources were higher than those of female, while the scores of individual stress response of the exerciser was higher than that of the non-exerciser (P<0.05). The neuropeptide Y level of the drinkers was lower than that of the non-drinkers, and the norepinephrine level of the exercisers was higher than that of the non-exercisers(P<0.05). Partial correlation analysis showed that occupational tasks scores of oilfield field workers were positively correlated with serotonin and norepinephrine levels(P<0.05). There was a negative correlation between individual stress scores and neuropeptide Y level (P<0.05). Conclusion: Chronic diseases of oilfield field workers are not optimistic, and their occupational stress is closely related to neurotransmitters. In clinical work, we may improve the occupational stress of oilfield field workers, so as to improve their neurotransmitters.