摘要
目的通过了解南昌地区加油站作业工人健康状况,提出防护对策。方法依据GBZ 188-2014《职业健康监护技术规范》,对某石化企业驻南昌地区加油站作业工人共874名进行在岗职业健康检查,建立个人健康档案,采用SPSS 13.0软件进行统计分析与评价。结果自觉有神经系统和植物神经系统症状的有245人,神经系统阳性体征者未见;皮肤瘙痒13人,其中3人有散在皮疹。检查项的异常率从高到低依次为:尿常规30.66%,彩超30.21%,血压12.93%,血常规12.36%,心电图7.55%,肝功能6.75%,血糖1.95%。男性高血压、高血糖、脂肪肝和心电图的异常率高于女性,女性血常规的异常率高于男性,差异均有统计学意义(均P<0.05)。总异常率4个县高于城区,且随工龄的增加而升高(均P<0.05)。结论南昌地区加油站工人在神经系统、心血管系统、造血和泌尿系统、代谢功能方面存在健康问题。今后在开展职业危害因素监测和作业工人职业健康监护的同时,应实施健康生活指导、督促企业改进生产方式,做好劳动保护,尤其是女工的劳动保护。
[Objective]To understand the health status of workers in gas stations of Nanchang Area,put forward the protective measures.[Methods]According to the Technical specification for occupational health surveillance（GBZ 188-2014）,the on-service occupational health examination was performed among 874 workers in gas stations belonged to a petrochemical enterprise in Nanchang Area. The personal health records were established and the data were statistically analyzed by SPSS 13.0 software.[Results]245 workers had the symptoms of nervous system and the autonomic nervous system. There was no case of positive signs of nervous system. Among 13 workers with skin itch,scattered rash was observed in 3 workers. The abnormal rates of examination items were as follows：30.66% for urine routine,30.21% for color Doppler ultrasound,12.93% for blood pressure,12.36% for blood routine, 7.55% for ECG, 6.75% for liver function, 1.95% for blood sugar. The detection rates of hypertension,hyperglycemia,fatty liver and abnormal ECG in males were higher than those in females,while the abnormal rates of blood routine test in female was higher than that in males,and the differences were statistically significant（P〈0.05）. The total abnormal rate in 4 counties was higher than that in urban area,and the abnormal rate increased with increasing of working years（P〈0.05）.[Conclusion]There are the health problems in nervous system,cardiovascular system,hematopoietic and urinary system and metabolic function among workers in gas stations of Nanchang Area. It is necessary to implement the occupational hazardous factors monitoring and occupational health surveillance among exposed workers,carry out healthy living guidance,urge enterprises to improve production technology,and strengthen labor protection,especially in female workers.
出处
《职业与健康》
CAS
2017年第2期170-172,共3页
Occupation and Health
关键词
加油站
作业工人
职业健康监护
Gas station
Exposed workers
Occupational health surveillance
