论文部分内容阅读
目的综合分析职业性噪声接触对我国女工生殖功能的影响。方法采用文献计量学法,通过中国知网、万方数据库、中国生物医学文献数据库和中国科技期刊数据库,检索、收集、筛选1985—2016年发表在国内学术期刊上关于职业性噪声接触与作业女工生殖功能关系研究的文献,采用Rev Man 5.2软件对入选文献进行数据合并分析,计算合并比值比(OR)及其95%可信区间(CI)。结果共纳入25篇文献。与对照组比较,职业性噪声接触与女工月经周期异常(OR=2.26,95%CI:1.70~3.01)、痛经(OR=2.21,95%CI:1.78~2.75)、经期异常(OR=2.11,95%CI:1.40~3.18)、经量异常(OR=1.73,95%CI:1.34~2.23)、妊娠高血压(OR=1.82,95%CI:1.49~2.22)、妊娠贫血(OR=1.71,95%CI:1.25~2.34)、先兆流产(OR=1.98,95%CI:1.23~3.20)、自然流产(OR=1.76,95%CI:1.49~2.08)、死胎死产(OR=1.61,95%CI:1.22~2.13)、早产(OR=1.57,95%CI:1.36~1.81)和女工子代的低出生体质量(OR=1.66,95%CI:1.39~1.98)、先天畸形(OR=1.58,95%CI:1.10~2.27)的关联性均有统计学意义(P<0.01);噪声接触强度与上述敏感指标存在剂量-反应关系。与对照组比较,职业性噪声接触与女工过期产(OR=1.32,95%CI:0.81~2.15)的关联性无统计学意义(P>0.05)。结论职业性噪声接触可影响女工的生殖功能和妊娠结局;孕妇不应从事噪声作业。
Objective To comprehensively analyze the impact of occupational noise exposure on the reproductive function of Chinese women workers. Methods Bibliometrics was used to search, collect and screen female academic work in occupational noise exposure and work published in domestic academic journals from 1985 to 2016 through CNKI, Wanfang database, China Biomedical Literature Database and China Science and Technology Periodical Database. Reproductive functional relationship of the literature, the use of Rev Man 5.2 software on the selected documents were combined data analysis, the merger odds ratio (OR) and 95% confidence interval (CI). Results A total of 25 articles were included. Compared with the control group, the occupational noise exposure was not related to the abnormal menstrual cycle (OR = 2.26, 95% CI: 1.70-3.01), dysmenorrhea (OR = 2.21, 95% CI: 1.78-2.75) (OR = 1.73, 95% CI: 1.34-2.23), gestational hypertension (OR = 1.82, 95% CI: 1.49-2.22), pregnancy anemia (OR = 1.71, 95% CI: 1.40-3.18) (OR = 1.98, 95% CI: 1.23-3.20), spontaneous abortion (OR = 1.76, 95% CI: 1.49-2.08) and stillbirth (OR = 1.61, 95% CI: 1.25-2.34) (OR = 1.57, 95% CI: 1.36-1.81) and low birth weight (OR = 1.66, 95% CI: 1.39-1.98) 1.58, 95% CI: 1.10-2.27). There was a dose-response relationship between the noise exposure intensity and the above mentioned sensitive index. Compared with the control group, the correlation between occupational noise exposure and female workers’ expired (OR = 1.32, 95% CI: 0.81-2.15) was not statistically significant (P> 0.05). Conclusion Occupational noise exposure may affect female reproductive function and pregnancy outcome; pregnant women should not engage in noise work.