目的分析生产性噪声对船舶制造企业作业工人心血管系统和听力的影响。方法选择接触噪声的工人920例为接触组,不接触噪声的工人900例为对照组,根据《职业健康监护技术规范》(GBZ 188-2014)开展血压、心电图、外耳纯音电测听等检查,对有听力损失者进行脱岗48 h纯音电测听复检。结果接触组耳鸣、心悸、耳聋和头痛等自觉症状发生率,高血压、心肌受损以及听力损失检出率均高于对照组,差异有统计学意义(P<0.05或0.01)。接触组男性听力损失检出率达20.76%,高于女性,差异有统计学意义(P<0.01)。语频听力损失和高频听力损失检出率均有随着工龄的延长而增多的趋势(P<0.05),但在听力损失构成上,各组间差异无统计学意义(P>0.05)。结论噪声对船舶制造企业作业工人血压、心电图有一定的影响,应采取有效措施加以防范。 Objective To analyze the influence of productive noise on the cardiovascular system and hearing of workers in shipbuilding enterprises. Methods A total of 920 workers exposed to noise were selected as the contact group and 900 workers were exposed to the noise as the control group. Blood pressure, electrocardiogram (ECG) and pure tone electrical audiometry were performed according to Technical Specifications for Occupational Health Monitoring (GBZ 188-2014) Those who have hearing loss off-grid 48 h pure tone electrical audiometry review. Results The incidence of symptoms such as tinnitus, palpitations, deafness and headache in the exposure group were significantly higher than those in the control group (P <0.05 or 0.01). The incidence of hypertension, myocardial damage and hearing loss were higher in the contact group. The detection rate of male hearing loss in contact group was 20.76%, which was higher than that in female group (P <0.01). The frequency of hearing loss and high frequency hearing loss both increased with the increase of seniority (P <0.05). However, there was no significant difference in hearing loss between groups (P> 0.05). Conclusion Noise has some influence on blood pressure and electrocardiogram of workers in shipbuilding enterprises. Effective measures should be taken to prevent it.