2006—2010年广东省新发职业病病谱分析  

Analysis on occupational disease spectrum in Guangdong province,2006-2010

作　　者：温贤忠[1] 李旭东[1] 黄永顺[1] 郑倩玲[1] 

机构地区：[1]广东省职业病防治院,广东省职业病防治重点实验室,广东广州510300

出　　处：《中国职业医学》2014年第2期157-162,共6页China Occupational Medicine

基　　金：广东省职业病防治重点实验室(2012A061400007);广东省自然科学基金项目(7018635);广东省医学科研基金项目(A2010050;B2009013);广东省医学科研基金指令性课题项目(C2013005);2013年广东省安全生产科技攻关项目;广东省职业病防治院课题(Z201005)

摘　　要：目的分析广东省2006—2010年新发职业病病谱及其特点,提出治理对策。方法对职业病网络直报系统报告的广东省内2006—2010年确诊的新发职业病发病信息资料进行分析。结果 2006—2010年全省共报告职业病1 847例。2007年起,新发职业病呈逐年上升趋势,2010年增幅明显,病例数为2007年的2.09倍。新发职业病的分类构成以尘肺病和职业中毒为主,分别占40.28%和27.83%,但该2类职业病所占比例下降,而物理因素所致职业病、职业性皮肤病、职业性耳鼻喉口腔疾病和职业性肿瘤所占比例上升,共占30.21%。不同年份职业病分类构成不同(P<0.01)。有机溶剂所致职业病所占比例(占36.71%)上升,重金属所致职业病所占比例(占6.12%)下降。单病种以矽肺、职业性手臂振动病、职业性慢性苯中毒、职业性噪声聋和职业性苯所致白血病发病例数最多,分别为607、140、136、127和111例。深圳、东莞、佛山、广州和中山5个地市报告病例共占82.46%;病例主要集中在轻工、建材、电子、机械和建设行业,共占85.71%,其中轻工业所有种类职业病病例数均位于各行业第1位。63.02%病例属于群体性发病,81.92%病例来自中、小企业。结论本省职业病病谱具有地域特色,主要以尘肺病、职业中毒、物理因素所致职业病、职业性皮肤病、职业性耳鼻喉口腔疾病和职业性肿瘤为主,本省职业病防治的重点是珠三角地区、中小企业以及轻工行业。Objective To analyze spectrum of occupational disease from 2006 to 2010 in Guangdong province , with the purpose of providing theoretical data for preparing the guideline and policy for occupational disease prevention and treat -ment.Methods The data from National Information System for Disease Control and Prevention from 2006 to 2010 were analyzed .Results Guangdong province reported 1 847 cases of occupational diseases in the period .The cases increased rapidly from 2007 to 2010, showing the number in 2010 was 2.09 times higher than that in 2007.Pneumoconiosis and oc-cupational poisoning commonly were accounting for 40.28% and 27.83% respectively , but the constitution of these two kinds of cases decreased , and the constitution of occupational diseases caused by physical factors , occupational ENT oral diseases , occupational skin diseases and occupational tumor grew to 30.21%of all cases .The constitution of occupational disease classification in different years were significantly different （P＆lt;0.01）, with the percentage of occupational disease caused by organic solvent increased （ 36.71%） and the percentage of occupational disease caused by heavy metals de -creased （6.12%）.Silicossis, occupational hand-arm vibration disease, occupational chronic benzene poisoning , occupa-tional noise-induced deafness and occupational benzene-induced leukemia were the single-disease with the highest inci-dence with the cases reported 607, 140, 136, 127 and 111 respectively.82.46% of the cases came from Shenzhen , Dongguan, Foshan, Guangzhou and Zhongshan of the Pearl River Delta .Occupational diseases concentrated in light indus-tries, building materials, electronics, machinery and construction , occupying 85.71%of all cases.Occupational diseases＆amp;nbsp;in light industry was predominant .63.02%of cases were happened in groups , and 81.92%originated from small and me-dium-sized enterprises .Conclusion The occupational disease spectrum showed the regional characteristic in Guangdong province .The common cla

关 键 词：职业病 发病谱 尘肺病 中毒 防治 

分 类 号：R135[医药卫生—劳动卫生]