[目的]为了解噪声作业工人健康危害状况,减少职业病发生。[方法]按照《职业健康监护技术规范》(GBZ 188-2014)规定的检查项目及方法,对在职噪声作业者进行职业体检,对体检结果进行统计分析。[结果]3 455名噪声作业工人中,男性2 263人(占65.50%),纯音听阈测试异常检出率6.28%。不同企业规模噪声作业人员纯音听阈测试、血压的异常检出率差异有统计学意义(P<0.05)。检出其他疾病或异常1 963人,占56.82%。[结论]噪声对作业工人听力、心血管系统等均有较严重的影响,应加强和完善噪声防护措施,预防相关的职业损伤。 [Objective] To understand the health hazards of noise workers and reduce occupational diseases. [Method] According to the inspection items and methods stipulated in the Technical Regulation of Occupational Health Monitoring (GBZ 188-2014), occupational physical examinations were conducted on working noise workers, and the results of physical examinations were statistically analyzed. [Results] Among 3 455 noise workers, 2 263 were males (65.50%), and the detection rate of pure tone audiometry was 6.28%. There was a significant difference in the detection rate of abnormality of blood pressure among different scale noise workers in pure tone threshold test (P <0.05). 1 963 other diseases or abnormalities were detected, accounting for 56.82%. [Conclusion] Noise has a serious impact on the hearing, cardiovascular system and so on. It is necessary to strengthen and improve the noise protection measures and prevent the related occupational injuries.