2002—2013年上海市青浦区尘肺病的发病特征  

Occurrence Characteristics of Pneumoconiosis in Qingpu District of Shanghai, 2002-2013

作　　者：叶开友 陆辰汝 

机构地区：[1]青浦区疾病预防控制中心职业卫生与中毒控制科,上海201700

出　　处：《环境与职业医学》2015年第11期1044-1046,1050,共4页Journal of Environmental and Occupational Medicine

摘　　要：[目的]了解上海市青浦区尘肺病发病特征,为做好尘肺防治提供科学依据。[方法]对该区2002—2013年所有尘肺观察对象和尘肺病例的报告卡进行统计分析。[结果]调查期间确诊尘肺102例,男55例,女47例,男女比1.17∶1,发病年龄（52.52±12.85）（28~79）岁,接尘工龄（11.44±6.38）年。新发诊断壹期、贰期和叁期尘肺例数分别为67、19和16;调查期间共发生晋期9例,晋期时间中位数为8.42年。铝尘肺、电焊工尘肺、铸工尘肺和矽肺位居前4位,例数分别为57（54.90%）、14（13.73%）、11（10.78%）和9（8.82%）;57例铝尘肺病例中,56例集中于一家企业。地域集中在华新镇（65例）和香花桥街道（23例）;行业集中在建材（65例）和机械行业（20例）;经济类型以乡镇集体企业（60例）和私营企业（21例）为主;规模多集中在小企业（93例）。报告尘肺观察对象42例,最终确诊27例,确诊率为64.28%。[结论]青浦区电焊工尘肺、铸工尘肺和矽肺是今后尘肺病防控的重点,同时应加强铝尘肺病人健康监护。[ Objective ] To describe the occurrence characteristics of pneumoconiosis in Qingpu District of Shanghai, and to provide a scientific basis for the prevention and control of pneumoconiosis. [ Methods ] Statistical analysis was performed on the official reporting data of pneumoconiosis and suspected pneumoconiosis cases in Qingpu from 2002 to 2013. [ Results ] A total of 102 cases of pneumoconiosis were diagnosed and reported in 2002-2013. The ratio of male （n=55） to female （n=47） cases was 1.17 ： 1. The mean age of onset was （52.52 ± 12.85） （28-79） years. The mean service length was （11.44 ± 6.38） years. The newly diagnosed cases included stage one （67 cases）, stage two （19 cases）, and stage three （16 cases）. Nine eases advanced from lower stage to higher stage, with a median time of 8.42 years. Aluminum pneumoconiosis （57 cases, 54.90%）, electric arc welder＇s pneumoconiosis （14 eases, 13.73%）, foundry worker＇s pneumoconiosis （11 cases, 10.78%）, and silicosis （9 cases, 8.82%） ranked the top four proportions; 56 out of 57 aluminum pneumoconiosis cases were reported in the same enterprise. Patients with reported pneumoconiosis were concentrated in Huaxin Town （65 cases） and Xianghuaqiao Sub-district （23 cases）; construction material industry （65 cases） and machinery industry （20 cases）; township collective enterprises （60 cases） and private sectors （21 cases）; small business （93 cases）. Among the reported 42 cases of suspected pneumoconiosis, 27 （64.28%） were diagnosed with pneumoconiosis. [ Conclusion ] Electric arc welder＇s pneumoconiosis, foundry worker＇s pneumoconiosis, and silicosis should be considered higher priority for future prevention and control, patients with aluminum pneumoconiosis should receive strengthened health surveillance.

关 键 词：尘肺 尘肺观察对象 铝尘肺 流行病学特征 尘肺晋期 

分 类 号：R135.2[医药卫生—劳动卫生]