中文摘要：

目的掌握铁路工务线路维护作业对职工身心健康的影响,为有针对性开展重点岗位健康维护提供依据。方法2016年7~10月选取山东地区某局工务部门承担线路维护作业的职工共220人,对其进行健康体检和心理调查。结果调查220名工务线路维护职工,患病率高的前3位疾病依次是脂肪肝89例（40.45%）、结节性甲状腺肿61例（27.73%）和高血压29例（13.18%）;实验室检查项目异常率高的前3项依次是血脂升高61例（27.73%）、肝功能异常37例（16.82%）和血常规异常26例（11.82%）。下班后感觉劳累并能影响到下个工作日的夜班工比例（占57.52%）高于白班工（占28.04%）（P〈0.05）。与常模比较,夜班工和白班工在躯体化、抑郁、恐怖、阳性项目数方面分值均较高（P〈0.05）。夜班工在躯体化、强迫和人际关系等7个方面分值均高于白班工（P〈0.05）。结论工务线路维护职工的身心健康状况不容乐观,心理健康水平较低。

英文摘要：

Objective To master the influence of railway maintenance work on the physical and mental health of workers,so as to provide the basis for the health maintenance of key posts. Methods A total of 220 workers who undertake the maintenance work of a railway line were selected,to investigate their physical examination and psychology during July-October,2016. Results In the survey of 220 line maintenance workers,the top 3diseases of workers were fatty liver in 89cases（40.45%）,61 cases of nodular goiter（27.73%）and 29 cases of hypertension（13.18%）;In laboratory tests the top3 abnormal rates were elevated blood lipids in 61cases（27.73%）,abnormal liver function in 37cases（16.82%）and abnormal blood routine in 26cases（11.82%）.The fatigue after night shift（57.52%）which can affect the next working day was greater than that of day shift（28.04%）（P〈0.05）.Somatization,depression,phobia and number of positive items scores in night and day shift workers were higher than the domestic conventional model（P〈0.05）.The 7aspects such as somatization,obsessive-compulsive and interpersonal relationship scores were higher in the night shift workers than that of the day shift workers（P〈0.05）. Conclusion The physical and mental health status of workers in the maintenance of lines is not optimistic and the mental health level is low.