2012—2015年绵竹市疑似尘肺检出及确诊情况  

Detection and diagnosis of suspected pneumoconiosis in Mianzhu City from 2012-2015

作　　者：蒙庆春[1] 冯孝胜 MENG Qing-chun FENG Xiao-shen(Occupational Health Department, Mianzhu Center for Disease Control and Prevention, Deyang Sichuan, 618200, China Occupational Health Department,Mianzhu Administration of Work Sqfety ,Deyang Sichuan, 618200, China)

机构地区：[1]绵竹市疾病预防控制中心职业卫生科,四川德阳618200 [2]绵竹市安全生产监督管理局职业卫生股,四川德阳618200

出　　处：《职业与健康》2016年第21期2903-2905,2909,共4页Occupation and Health

摘　　要：目的了解疑似尘肺病检出情况,明确高危人群和高危行业,为绵竹市尘肺病防治决策提供科学依据。方法从职业健康检查管理系统中导出2012—2015年疑似尘肺病病例资料,分析新增疑似病例在健康检查年度、健康检查类型、企业类别、户籍、年龄等方面的分布;通过国家职业病网报系统了解绵竹市每年的尘肺确诊情况。结果绵竹市2012—2015各年度检出疑似尘肺病病例分别为68、45、67和67例,共计247例;检出的疑似尘肺病中,上岗前占81.38%,在岗期间占18.22%,离岗占0.4%;集中分布在磷矿石开采企业,其次为煤炭开采、机械铸造、路桥与化工;绵竹市户口占55.06%,外来务工人员44.94%;多集中在40~〈55岁年龄段。结论在一定时间段内,该市还将处于尘肺病的高发状态,应加强重点行业的粉尘综合治理,坚持职业健康检查,严把入职前检查关、认真开展在岗期间及离职健康检查,实现尘肺病防治的＂三早＂原则。[Objective]To understand the detection status of suspected pneumoconiosis,define the high risk group and high risk industry,provide scientific basis for prevention and control decision of pneumoconiosis in Mianzhu City.[Methods]The data of suspected pneumoconiosis from 2012-2015 were derived from the occupational health examination and management system,to analyze the distribution of suspected pneumoconiosis cases in years,health examination types,enterprise types,household registration and age. The diagnosis status of pneumoconiosis in every year was investigated by the national occupational disease network reporting system.[Results]There were totally 247 cases of suspected pneumoconiosis,and 68,45,67 and 67 cases in2012,2013,2014 and 2015,respectively. Among the cases of suspected pneumoconiosis,81.38% were detected before taking post,18.22% were detected during the post,and 0.4% were detected after leaving post. The cases concentrated on phosphate rock mining enterprises,followed by coal mining,mechanical casting,road-building and chemical industry. 55.06% of cases had the local registered permanent residence,and 44.94% were migrant workers. Most of cases were people aged 40-55 years old.[Conclusion]The incidence rate of pneumoconiosis will be at a high level in Mianzhu City in a certain period of time. It is necessary to strengthen the comprehensive management of the dust in key industries,implement the occupational health examination,strictly perform the pre-service examination,conscientiously carry out the on-service examination and dimission examination,and realize the＂three early＂principle in the prevention and treatment of pneumoconiosis.

关 键 词：疑似尘肺 高危 职业健康检查 管理系统 监管 

分 类 号：R135.2[医药卫生—劳动卫生]