养路工人矽肺发病25年跟踪调查分析  

25 Years Follow-up Investigation and Analysis of Road Menders' Silicosis Developing Situation

作　　者：王治国 王世潭[2] 谢德兴[3] 陈炳龙 

机构地区：[1]福建省龙岩市卫生局卫生监督所 [2]龙岩学院 [3]龙岩市疾病预防控制中心 [4]龙岩市公路局,龙岩364000

出　　处：《旅行医学科学》2007年第1期36-37,共2页

基　　金：福建省科技厅计划基金重点攻关项目(编号:2002Y19-2)

摘　　要：目的调查分析养路工人矽肺发病情况和特征,制定相应的防治措施。方法对养路工人进行25年的跟踪调查分析。结果作业场所矽尘浓度为33.75～120mg/m^3,体检6 041人次,共检出矽肺患者71人,男70人,女1人;Ⅰ期56人,发病年龄50.6±8.28,发病工龄28.6±6.54;Ⅱ期15人,发病年龄61.5±6.61,发病工龄37.4±4.65。Ⅰ期晋级Ⅱ期年限9.1±4.09;0^+117人;死亡12,病死率16.9%。矽肺肺结核并发率为7.04%(5/71)。结论养路工人作业场所矽尘浓度高,工人矽肺发病率较高,需采取除尘、降尘、个人防护、健康教育等综合防治措施。Objective To investigate and analyze the situation and the characters of road menders＇ silicosis, establish the corresponding preventing and controling measures. Methods 25 years＇ follow-up investigation and analysis to the road menders. Result The dust density of work place is 0.30-120mg/m^3, 6 041 people had the physical examination. 71 silicosis patients were found, 70 males and 1 female. In the first period, there are 56 people sufferers, at the age of 50.6±8.28 years old. Length of service is 28.6±6.54 years. The second period, 15 people, occurring at the age of 61.5±6.61 years old. Length of service is 37.4±4.65 years. The time of the sufferers promoting from Ⅰ to Ⅱ is 9.1±4.09 years; 117 suffered 0^＋, 12 died, death rate was 16.9%. The syndrome rate of silicosis and tuberculosis was 7.04% （5/71） . Conclusion Both the dust density of road menders＇ work place and silicosis disease incidence rate were high. We should take some preventing and controling measures, such as dust removal, falling dust, individual protection, health education, and so on.

关 键 词：养路工人 矽肺 调查分析 综合防治措施 

分 类 号：R135.2[医药卫生—劳动卫生]