养路工人矽肺发病25年跟踪调查分析  

Following-up Investigation for 25 Years and Analysis on Silicosis Prevalence for Road Menders

作　　者：王治国 王世潭[2] 谢德兴[3] 梁立徽[4] 陈炳龙 

机构地区：[1]龙岩市卫生局卫生监督所,福建364000 [2]龙岩学院,福建364000 [3]龙岩市疾病预防控制中心,福建364000 [4]福建省职业病与化学中毒预防控制中心,福州350001 [5]龙岩市公路局,福建364000

出　　处：《海峡预防医学杂志》2007年第3期25-26,共2页Strait Journal of Preventive Medicine

基　　金：福建省科技厅计划基金重点攻关项目(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]共体检6 041人次,检出矽肺患者71人。男性患病率13.9%（70/504）,女性0.6%（1/173）;Ⅰ期56人,Ⅱ期15人,Ⅰ期转为Ⅱ期经9.1±4.1年;病死率16.9%（12/71）。矽肺肺结核合并率7.0%（5/71）;养路工矽肺患病率高发与砂土路接尘有关（作业场所矽尘浓度为0.30~120 mg/m3）。[结论]根据当前路况,养路工作业场所需采取除尘、降尘、个人防护和健康教育等综合性防治措施,以降低矽肺患病率。[Objective] To investigate and analyze silicosis prevalence and characteristics of road menders-for the disease control and prevention. [Methods] The results of following-up investigation for 25 years were analyzed. [Results] Physical examination for 6 041 road menders was carried out and 71 cases of silicosis were found out. The prevalence in male was 13. 9% （70/504） and 0.6% （1/173） in female. There were 56 cases for phase- Ⅰ and 15 for phase-Ⅱ. The years of phase- Ⅰ changed to phase- Ⅱ were 9.1±4. 1. The fatality rate was 16.9% （12/71）. The complication rate of tuberculosis was 7.0% （5/71）. The high prevalence of silicosis was related with working on road with light soil dust （the dust concentration was 0.30-120 mg/m^3 ）. [Conclusion] Because of high dust concentration level of road in recent period, disease control and prevention measures, such as dust reducing, individual protection and health education, should be taken for road menders.

关 键 词：矽肺 养路工人 职业卫生 疾病控制 

分 类 号：R135.2[医药卫生—劳动卫生]