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1、2006—2016年邢臺(tái)市塵肺病發(fā)病和接塵工人職業(yè)健康檢查情況李敬文邢臺(tái)市疾病預(yù)防控制中心職業(yè)衛(wèi)生科摘要:R的了解2006-2016年邢臺(tái)市塵肺病發(fā)病情況和接塵工人職業(yè)健康監(jiān)護(hù)情況,探尋職業(yè)健康監(jiān)護(hù)對(duì)塵肺病診斷的作用,為有效防治塵肺病提供必要的參考依據(jù)。方法對(duì)2006-2016年邢臺(tái)市所屬企業(yè)上報(bào)至《職業(yè)病與職業(yè)衛(wèi)生信息監(jiān)測(cè)系統(tǒng)》的職業(yè)健康監(jiān)護(hù)資料及塵肺病發(fā)病情況進(jìn)行回顧性分析。結(jié)果2006-2016年邢臺(tái)市上報(bào)的職業(yè)健康檢查實(shí)檢人數(shù)101997人,發(fā)現(xiàn)疑似塵肺病385人,占實(shí)檢人數(shù)的0.38%;發(fā)現(xiàn)的職業(yè)禁忌證261人,占實(shí)檢人數(shù)的0.26%;診斷塵肺病31例,
2、占檢出的疑似塵肺病的&05%;按時(shí)間、地區(qū)、塵肺種類(lèi)和企業(yè)規(guī)模分析職業(yè)健康檢查異常檢出率和塵肺病診斷率,差異均有統(tǒng)計(jì)學(xué)意義。結(jié)論2006—2016年邢臺(tái)市職業(yè)健康檢查異常檢岀率低,診斷的塵肺病占檢出的疑似塵肺病的比率低,應(yīng)加強(qiáng)職業(yè)健康檢查機(jī)構(gòu)和職業(yè)病診斷機(jī)構(gòu)的能力建設(shè),提高職業(yè)檢查機(jī)構(gòu)和職業(yè)病診斷機(jī)構(gòu)屮職業(yè)病診斷醫(yī)師的診斷水平。需要相關(guān)部門(mén)對(duì)職業(yè)健康檢查機(jī)構(gòu)和職業(yè)病診斷機(jī)構(gòu)加強(qiáng)監(jiān)督管理。關(guān)鍵詞:塵肺病;接塵工人;職業(yè)健康檢查;作者簡(jiǎn)介:李敬文,女,主管醫(yī)師,主要從事職業(yè)衛(wèi)生工作。收稿日期:2017-03-03Epidemicsituationofpneumocon
3、iosisandoccupationalhea1thexaminationstatusofdust-exposedworkersinXingtaiCityfrom2006-2016LIJing-wenDepartmentofOccupytiorialHealth,XingtaiCenterforDiseaseControlandPrevention;Abstract:[Objective]Tounderstandtheepidemicsituationofpneumoconiosisandoccupationeilhealthexaminationstatusof
4、dust-exposedworkersinXingtaiCityfrom2006-2016,exploretheroleofoccupationalhea1thsurveillanceinthediagnosisofpneumoconiosis,andprovidethenecessaryreferenceforthepreventionandtreatmentofpneumoconiosis.[Methods]Theretrospectiveanalysiswasmadeonthedataofoccupationalhealthsurvei1laneeandep
5、idemicsituationofpneumoconiosisinenterprisesofXingtaiCity,whichwerereportedtotheoccupationaldiseaseandoccupationalhealthinformationmonitoringsystemfrom2006-2016.[Results]Totally101997workerswhohavereceivedtheoccupationalhealthexaminationwerereportedinXingtaiCityfrom2006-2016,andtherew
6、ere385casesofsuspectedpneumoconiosisand261casesofoccupationalcontraindication,whichrespectivelyaccountedfor0.38%and0.26%ofactualhealthexaminationcases.31casesofpneumoconiosiswerefound,accountingfor8.05%ofsuspectedpneumoconiosiscases.Thedifferencesinabnormaldetectionrateofoccupationeil
7、healthexam-inationandthediagnosisrateofpneumoconiosiswerestatisticallysignificantamongdiffcrcntgroupsintime,region,typeofpneumoconiosis,andenterprisescale.[Conclusion]TheabnormaldetectionrateofoccupationalhealthexaminationislowinXingtaiCityfrom2006-2016,anddiagnosedpneumoconiosiscases
8、accou