2020—2023年天津市滨海新区噪声作业人员高频听力损失影响因素分析

天津科技 ›› 2025, Vol. 52 ›› Issue (10): 64-66+69.

2020—2023年天津市滨海新区噪声作业人员高频听力损失影响因素分析

黄真^*, 董豪杰

天津市滨海新区疾病预防控制中心（天津市滨海新区卫生监督所）天津 300450

收稿日期:2025-09-04 出版日期:2025-10-25 发布日期:2026-01-06
通讯作者: ^*

Analysis of factors affecting high-frequency hearing loss among noise-exposed workers in Binhai New Area of Tianjin from 2020 to 2023

HUANG Zhen^*, DONG Haojie

Tianjin Binhai New Area Center for Disease Control and Prevention <Tianjin Binhai New Area Health Supervision Institute>,Tianjin 300450,China

Received:2025-09-04 Online:2025-10-25 Published:2026-01-06

摘要/Abstract

摘要： 应用天津市职业病信息监测系统,收集滨海新区2020—2023年2 906名噪声作业人员体检数据,采用广义估计方程（Generalized Estimating Equations,GEE）分析高频听力损失的影响因素。单因素分析显示,不同性别、工龄、企业类型、血清谷丙转氨酶（ALT）水平、红细胞计数人群的高频听力损失检出率差异有统计学意义（P<0.05）。GEE分析表明,男性、私有及小型企业员工、工龄≥10 a、血清ALT升高、血常规异常、心电图异常及血压升高者的听力损失风险较高（P<0.05）。应重点关注男性、私有与小型企业中工龄较长、有健康异常的噪声作业人员,强化其听力保护措施。

关键词: 高频听力损失, 职业健康监护, 广义估计方程

Abstract: By using the Occupational Disease Information monitoring System of Tianjin,the physical examination data of 2,906 noise-exposed workers in Binhai New Area from 2020 to 2023 were collected. The generalized estimating equations （GEE） were adopted to analyze the influencing factors of high-frequency hearing loss. Univariate analysis showed that there were statistically significant differences in the detection rate of high-frequency hearing loss among groups with different genders,lengths of service,enterprise types,serum alanine aminotransferase （ALT） levels,and red blood cell counts （P<0.05）. GEE analysis indicated that men,employees of private and small enterprises,those with a length of service of ≥10 years,those with elevated serum ALT,abnormal blood routine,abnormal electrocardiogram and elevated blood pressure had a higher risk of hearing loss （P<0.05）. Special attention should be paid to noise-exposed workers who are male,have longer working years in private and small enterprises,and have abnormal health conditions,and their hearing protection measures should be strengthened.

Key words: high-frequency hearing loss, occupational health surveillance, GEE

中图分类号:

R135.8

黄真, 董豪杰. 2020—2023年天津市滨海新区噪声作业人员高频听力损失影响因素分析[J]. 天津科技, 2025, 52(10): 64-66+69.

HUANG Zhen, DONG Haojie. Analysis of factors affecting high-frequency hearing loss among noise-exposed workers in Binhai New Area of Tianjin from 2020 to 2023[J]. TIANJIN SCIENCE & TECHNOLOGY, 2025, 52(10): 64-66+69.

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