2011年开平市职业健康监护检查结果  

Result of occupational health examination in Kaiping City in 2011

作　　者：张焕彩[1] 王雪梅[1] 关晓熙 

机构地区：[1]广东省开平市疾病预防控制中心体检中心,529300

出　　处：《职业与健康》2013年第2期161-162,共2页Occupation and Health

摘　　要：目的了解开平市2011年接触职业病危害因素在岗职工的健康状况,分析存在的主要职业病危害因素及解决措施。方法根据职业健康监护技术规范的要求对不同职业的在岗工人进行职业健康监护检查。结果 2 665名接触职业病危害因素在岗职工中,共检出1项或1项以上阳性病例368人,阳性检出率为13.81%;阳性检出率最高的分别是肺纹理增多(7.39%)、血清丙氨酸转氨酶(ALT)活力增加(4.05%)、听阈异常(2.40%)、高血压(2.36%)和肺结核(2.08%);接触职业病危害因素主要是粉尘、噪声和苯化物,共检出疑似职业病7例。其中疑似尘肺病6例,阳性率为0.78%;噪声性耳聋1例,阳性率为0.24%;检出职业禁忌证25例,其中不适从事粉尘接触作业8例,占所检人数1.04%;不适宜从事接触噪声作业12例,占所检人数2.88%;不适宜从事接触苯系化物作业5例,占所检人数4.81%。结论开平市接触职业病危害因素在岗职工的健康状况不容乐观,该市职业病防治工作面临严峻考验。应加强《中华人民共和国职业病防治法》宣传的力度,建立有效企业和监管部门职业病防治问责制度,重点做好职业病一级、二级预防工作。[Objective]To understand the health status of workers exposed to occupational hazards in Kaiping City in 2011,analyze the main occupational hazard factors and solving measures.[Methods]According to the requirements of the Technical Specifications for Occupational Health Surveillance,the occupational physical examination was conducted among workers engaged in different careers.[Results]Among 2665 workers exposed to occupational hazards,368 were detected for one or more positive indexes,and the positive rate was 13.81%.The positive rates of increased lung markings（7.39%）,increased serum ALT activity（4.05%）,abnormal hearing threshold（2.40%）,hypertension（2.36%） and pulmonary tuberculosis（2.08%） were the highest.The main occupational hazards were dust,noise and benzene compounds,and a total of 7 cases of suspected occupational diseases were found,including 6 cases of suspected pneumoconiosis with the positive rate of 0.78% and 1 case of noise deafness with the positive rate of 0.24%.25 cases of occupational contraindication were detected,which included 8 cases should avoid contact with dust（accounting for 1.04% of total workers）,12 cases should avoid contact with noise（accounting for 2.88%） and 5 cases should avoid contact with benzene compounds（accounting for 4.81%）.[Conclusion]The health status of workers exposed to occupational hazards in Kaiping City is not optimistic,and the prevention and control of occupational diseases is serious.It is necessary to strengthen the publicity of Code of Occupational Disease Prevention of PRC,establish effective accountability system of enterprises and supervision departments,and focus on primary and secondary prevention of occupational diseases.

关 键 词：职业健康监护 职业病 职业病危害因素 职业禁忌 

分 类 号：R194.3[医药卫生—卫生事业管理]