摘要
目的分析放射工作人员上岗前职业健康检查结果,探讨延迟进行上岗前职业健康检查对职业健康监护的影响。方法采用方便抽样方法,以广东省2016年进行上岗前职业健康检查的1 385名放射工作人员为研究对象,以职业健康检查时未从事放射工作者为对照组,以已从事放射工作但未进行上岗前职业健康检查者为观察组。分析2组人群职业健康检查结果的差异。结果观察组人群占全部上岗前职业健康检查人员的55.8%(773/1 385)。观察组人群白细胞计数、"双+环"率和晶状体的异常率均高于对照组(9.3%vs 5.7%,6.0%vs 3.6%,6.2%vs 3.6%,P<0.05)。与对照组比较,观察组的白细胞计数较低[(6.1±1.5)×10~9/L vs(6.7±1.5)×109/L,P<0.01],促甲状腺激素和三碘甲状腺原氨酸水平均较高[(1.3±0.4)m U/L vs(1.2±0.3)m U/L,(1.8±0.4)nmol/L vs(1.7±0.5)nmol/L,P<0.01],甲状腺素水平较低[(110.8±22.5)nmol/L vs(113.8±23.2)nmol/L,P<0.05]。结论放射工作人员延迟进行上岗前职业健康检查可影响其检查结果及其基础健康档案的准确性。
Objective To explore the effect of delayed pre-job occupational health examination on occupational health surveillance by analyzing the results of pre-job occupational health examinations in radiation exposed workers. Methods A convenience sampling method was used to select 1 385 radiation workers as the research subjects in Guangdong Province in 2016 at a pre-job occupational health examination. Workers who did not engage in radiation work were selected as control group. Workers who engaged in radiation work but did not take pre-job occupational health examinations were selected as observation group. The difference of the results of occupational health examination between the two groups was analyzed. Results The proportion of the observation group was 55. 8%（773/1 385）. The abnormal rates of the white blood cell（ WBC） count,＂double ＋ ring＂rate and lens in the observation group were higher than those in the control group（9. 3% vs 5. 7%,6. 0% vs 3. 6%,6. 2% vs 3. 6%,P 0. 05）,respectively. The WBC count in the observation group was lower than that in the control group [（6. 1 ± 1. 5） × 10^9/L vs（6. 7 ± 1. 5） × 10^9/L,P 0. 01]. The contents of the thyroid stimulating hormone and triiodothyronine in the observation group were higher than those in the control group[（1. 3 ± 0. 4） m U/L vs（1. 2 ± 0. 3） m U/L,（1. 8 ± 0. 4） nmol/L vs（1. 7 ± 0. 5） nmol/L,P 0. 01]. The tetraiodothyronine level in the observation group was lower than that in the control group [（ 110. 8 ± 22. 4） nmol/L vs（113. 8 ± 23. 2） nmol/L,P 0. 05]. Conclusion The delay of pre-job occupational health examination of radiation exposed workers affects the examination results and the accuracy of basic health records.
作者
王恰
庾佛明
刘文娟
黄伟欣
杨爱初
WANG Qia;YU Foming;LIU Wenjuan;HUANG Weixin;YANG Aichu(Guangdong Province Hospital for Occupational Disease Prevention and Treatmen;Guangdong Provincial Key Laboratory of Occupational Disease Prevention and Treatment,Guangzhou,Guangdong 510300,China)
出处
《中国职业医学》
CAS
北大核心
2018年第4期467-470,共4页
China Occupational Medicine
基金
广东省职业病防治重点实验室(2017B030314152)
