COVID-19新冠肺炎疫情底下的衝擊，日班與夜班勞工尿液檢查結果比較研究

The association between urine analysis and night shift work, under the COVID-19 outbreak

卓孟德(Mon-Der Cho) ； 李彥璋(Yen-Chang Lee) ； 林士傑(Shih-Chieh Lin)

《中華職業醫學雜誌》 29卷2期 (2022/04) Pp. 97-102

摘要

背景及研究目的：COVID-19新冠肺炎的疫情，顛覆了世界原有的規律。本研究將透過分析連續兩年，同一工廠日夜間工作者的尿液檢查異常率（尿潛血與尿蛋白），嘗試闡明疫情對於尿液檢查結果影響之關聯性。研究方法：研究將以該廠2019與2020年健檢結果，取尿液分析資料，分為長期夜間工作與非長期夜間工作兩組，以SPSS進行連續兩年資料之描述性統計，試著釐清COVID-19新冠肺炎疫情、長期夜間工作與尿液檢查結果異常之關聯性。結果：依勞動部針對長期夜間工作特定對象定義，將該廠2019與2020年健檢資料，分為日間工作者及長期夜間工作者。其中2019年日間工作者5283人、夜間工作者4039人；2020年日間工作者4329人，夜間工作者3957人。2019年夜間工作者尿蛋白異常率4.5%、尿潛血異常率8.6%；2020年夜間工作者尿蛋白異常率4.4%、尿潛血異常率9.5%。2019年日間工作者尿蛋白異常率7.3%、尿潛血異常率10.5%；2020年日間工作者尿蛋白異常率4.4%、尿潛血異常率9.5%。結論：研究顯示，2020年與2019年相比，無論尿蛋白或尿潛血的陽性率，均較2019年為低。是否因COVID-19新冠肺炎疫情，造成多數人飲水增加，導致尿液檢查結果趨於正常。且因疫情，造成生活與工作型態改變，分流、居家上班，運動減少…等，藉活動量減少導致蛋白尿發生機會減少，是疫情期間的新發現。

關鍵字

夜間工作 ； 夜班 ； 輪班 ； 腎功能 ； 尿液檢查 ； 新冠肺炎 ； COVID-19

並列摘要

Background and Aims: COVID-19 Pandemic has made everyone encounter the immobilization and physical inactivity due to sustained quarantine and social distancing. The aim of this study was to make an analysis from continuous 2 years annual health check data of the employees in a Northern Taiwan company, to evaluate the associations between night shift work and concerning effects change on urine analysis. Methods: A total 5283 day-shift workers and 4039 non-shift workers were recruited separately in 2019; 4329 day-shift workers and 3957 non-shift workers were recruited separately in 2020. The objective of the study is the positive rate of abnormal urine analysis. Results: In 2019, the abnormal rate of urine protein in night workers was 4.5% and the abnormal rate of urine occult blood was 8.6%; in 2020, the abnormal rate of urine protein in night workers was 4.4% and the abnormal rate of urine occult blood was 9.5%. In 2019, the abnormal rate of urine protein in daytime workers was 7.3%, and the abnormal rate of urine occult blood was 10.5%; in 2020, the abnormal rate of urine protein in daytime workers was 4.4%, and the abnormal rate of urine occult blood was 9.5%. Conclusion: Our study Studies have shown that compared with 2019, the positive rate of urine protein or urine occult blood is lower in 2020 than in 2019. It might because of the COVID-19 epidemic pandemic, most people aware to drink more water, which may causing result in the urine test results to become normal. In addition, due to the epidemic pandemic, changes in life and work patterns, diversion, work at home, reduced exercise... etc., reduced the opportunities for the proteinuria are a new discovery during the COVID-19 epidemic pandemic.

並列關鍵字

night shift ； shift work ； nonstandard work hours ； circadian system ； health effects ； renal function ； urine analysis ； COVID-19