摘要
目的通过对4个国有大型煤业集团的调查,分析煤炭企业不同职业卫生管理模式对职业健康监护效果影响。方法通过听取汇报、查阅相关文件及资料、抽检职业健康检查资料、现场检查等方式对4个国有大型煤业集团职业病防治领导机构建立、职业卫生管理制度及职业病防治规划健全情况、职防机构管理及运行情况、职业健康检查及职业病诊断情况进行调查。分析对比职业健康监护效果。结果4个集团职业病防治领导机构建立及运行情况和职业病防治机构管理及运行情况各不相同,职业健康监护效果差异有统计学意义。4个集团历年体检率比较:集团A、B之间无差异统计学意义((χ2=9.102,P>0.05),集团C、D之间差异无统计学意义((χ2=7.322,P>0.05),集团A、B与集团C、D之间差异有统计学意义((χ2=15.681,P<0.05)。4个集团历年尘肺检出率比较:集团A与集团B、C、D之间差异有统计学意义(P=23.106),集团B与集团C、D之间差异有统计学意义(P=19.214),集团C、D之间差异无统计学意义(P=2.393)。结论4个国有大型煤业集团在职业病防治领导机构、职业卫生管理制度、职防机构管理及运行情况各不相同,使职业健康检查及职业病诊断结果产生了较大差异。
Objective To analyse influence of effect on occupational health surveillance in the coal enterprises with different management patterns of occupational hygiene. Methods In order to compare the effect of occupational health surveillance, four large-scale state-owned coal mine groups had been investigated by means of debriefing, refering document, inspecting occupational checkup data and fieldwork, etc. The investigation included following aspects： the establishment of leading instifution of occupational diseases control and preven- tion, management and working statas of joint institutions, results of physical examination and diagnosis of occupational disease, etc. Results Pollowed by different occupational hygiene management patterns among 4 coal mine groups, there were significant differeces in occupational health sureillance effect. In physical examination rate, there were no significant differences between group A and group B （ X^2=9. 102, P 〉0. 05）, and between group C and group D （X^2 = 15.681, P 〈0. 05）. In pneumoconiosis detection rate, there were sig- nificant differences between group A and group B, C, D （ P = 23. 106）. There were significant differences between group B and group C, D （P = 12. 214）. And there were no significant differences between group C and group D （P = 2. 393）. Conclusion Different occupational hygiene management patterns lead to different results in physical examination and diagnosis in occupational disease. E zery segment of management of occupational disease control and prevention exists scientific and close relation.
出处
《职业卫生与病伤》
2009年第1期1-3,共3页
Occupational Health and Damage
关键词
煤炭企业
职业卫生
管理
健康监护
State-owned coal mine
Occupational hygiene
Management
Health surveillance
