摘要
目的了解2006—2016年邢台市尘肺病发病情况和接尘工人职业健康监护情况,探寻职业健康监护对尘肺病诊断的作用,为有效防治尘肺病提供必要的参考依据。方法对2006—2016年邢台市所属企业上报至《职业病与职业卫生信息监测系统》的职业健康监护资料及尘肺病发病情况进行回顾性分析。结果 2006—2016年邢台市上报的职业健康检查实检人数101 997人,发现疑似尘肺病385人,占实检人数的0.38%;发现的职业禁忌证261人,占实检人数的0.26%;诊断尘肺病31例,占检出的疑似尘肺病的8.05%;按时间、地区、尘肺种类和企业规模分析职业健康检查异常检出率和尘肺病诊断率,差异均有统计学意义。结论 2006—2016年邢台市职业健康检查异常检出率低,诊断的尘肺病占检出的疑似尘肺病的比率低,应加强职业健康检查机构和职业病诊断机构的能力建设,提高职业检查机构和职业病诊断机构中职业病诊断医师的诊断水平。需要相关部门对职业健康检查机构和职业病诊断机构加强监督管理。
[Objective]To understand the epidemic situation of pneumoconiosis and occupational health examination status of dust-exposed workers in Xingtai City from 2006-2016,explore the role of occupational health surveillance in the diagnosis of pneumoconiosis,and provide the necessary reference for the prevention and treatment of pneumoconiosis.[Methods]The retrospective analysis was made on the data of occupational health surveillance and epidemic situation of pneumoconiosis in enterprises of Xingtai City,which were reported to the occupational disease and occupational health information monitoring system from2006-2016.[Results]Totally 101 997 workers who have received the occupational health examination were reported in Xingtai City from 2006-2016,and there were 385 cases of suspected pneumoconiosis and 261 cases of occupational contraindication,which respectively accounted for 0.38% and 0.26% of actual health examination cases. 31 cases of pneumoconiosis were found,accounting for 8.05% of suspected pneumoconiosis cases. The differences in abnormal detection rate of occupational health exam-ination and the diagnosis rate of pneumoconiosis were statistically significant among different groups in time,region,type of pneumoconiosis,and enterprise scale.[Conclusion] The abnormal detection rate of occupational health examination is low in Xingtai City from 2006-2016,and diagnosed pneumoconiosis cases account for low proportion of suspected pneumoconiosis cases. It is necessary to ability strengthen the construction of occupational health examination institutions and occupational disease diagnosis institutions,and improve the diagnosis level of occupational disease diagnosis physicians in these institutions. The relevant depart-ments should strengthen the supervision and management in occupational health examination institutions and occupational disease diagnosis institutions.
出处
《职业与健康》
CAS
2017年第22期3041-3044,3048,共5页
Occupation and Health
关键词
尘肺病
接尘工人
职业健康检查
Pneumoconiosis
Dust-exposed workers
Occupational health examination
