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室内外工作环境对心血管系统炎性标志物的影响

  

  1. 河北省人民医院  体检中心,河北 石家庄  050051
  • 出版日期:2020-03-20 发布日期:2020-03-27
  • 通讯作者: 郝志华,Email:zyyhzhhyw@163.com

Effects of indoor and outdoor working environment on inflammatory markers of cardiovascular system

  1. Corresponding author: Hao Zhihua,  Email: zyyhzhhyw@163.com
  • Online:2020-03-20 Published:2020-03-27
  • Contact: Corresponding author: Hao Zhihua, Email: zyyhzhhyw@163.com

摘要: 目的  探讨在健康人群中室内外工作环境的大气颗粒物对心血管系统炎性标志物的影响。方法  于2018年10~12月根据工作性质(分为室内组和室外组)对石家庄市区30~60岁常住居民进行问卷调查,对符合入组条件者进行血压、身高、体重等体格检查,行颈动脉超声以及氧化低密度脂蛋白(oxidized lowdensity lipoprotein,OxLDL)、血清脂蛋白相关磷脂酶A2(serum lipoprotein associated phospholipase A2,LpLPA2)、血脂等相关抽血化验,并将统计结果进行分析。 结果  室外组教育程度及心血管系统疾病相关危险因素腹围、臀围、收缩压、舒张压、空腹血糖、总胆固醇、高密度脂蛋白胆固醇与室内组比较差异有统计学意义(P<0.05)。 结论  室外工作环境中的大气颗粒物对心血管疾病相关循环标志物OxLDL、LpLPA2可能无显著影响,但引起血压、空腹血糖、腹围、臀围、BMI的升高及高密度脂蛋白胆固醇的降低,可能增加心血管疾病的发生率。

关键词: 大气, 颗粒物, 心血管疾病, 健康调查, 脂蛋白类,  , LDL, 磷脂酶A

Abstract: Objective  To investigate the effects of atmospheric particulates in indoor and outdoor working environment on inflammatory markers of the cardiovascular system in healthy people. Methods  A questionnaire survey was conducted amongthe residents aged 3060 in Shijiazhuang urban area according to their work situation (indoor group and outdoor group)from October to December 2018. Physical examination (including blood pressure,height, weight and etc), carotid ultrasound, and blood tests (including oxidized low density lipoprotein [OxLDL], serum lipoproteinassociated phospholipase A2 [LpLPA2], blood lipids and etc)  were carried out on the residents who met the eligibility criteria, then the statistical results were analyzed. Results  The educational level and risk factors related to cardiovascular system diseases including abdominal circumference, hip circumference,  systolic blood pressure, diastolic blood pressure, fasting blood glucose, total cholesterol,  and highdensity lipoprotein cholesterol in the outdoor group were significantly different from those in the indoor group(P<0.05). Conclusion  Atmospheric particulate matter in outdoor working environment may have no significant effects on markers associated with cardiovascular diseases including OxLDL and LpLPA2. However, it can increase blood pressure, fasting blood glucose, abdominal circumference, hip circumference, BMI and decrease HDLC, which may increase the incidence of cardiovascular diseases.

Key words: atmosphere, particulate matter, cardiovascular diseases, healthy surveys, lipoproteins, , LDL, phospholipases A