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作 者:桂丽[1] 杨玉红[1] 陈志涛[1] 赵普[1] 胡雪乔 G UI Li YA NG Yu-hong CHEN Zhi-tao ZHAO Pu HU Xue-qiao(Department of Occupational Disease Prevention and Control,Bayan Nur Center for Disease Control and Prevention,Bayan Nur Inner Mongolia, 015000, China)
机构地区:[1]巴彦淖尔市疾病预防控制中心职业病防治科,内蒙巴彦淖尔015000
出 处:《职业与健康》2016年第21期2916-2919,共4页Occupation and Health
摘 要:目的通过对巴彦淖尔市某制药厂作业人员的腹部B超(肝、胆、脾、肾)检查结果分析,为企业的职业病防治和职业卫生管理工作提供科学的依据。方法选择2015年某制药厂参加职业健康检查的所有作业人员1 263例,对其腹部B超结果进行分析。结果各年龄组在脂肪肝、肝脏其他异常、胆囊异常、肾脏异常检出率方面,差异有统计学意义(P〈0.01),≥50岁异常最多;肝脾肿大检出率各年龄组差异无统计学意义(P〉0.05);各工龄组在脂肪肝、肾脏异常检出率方面,差异有统计学意义(P〈0.01),脂肪肝、肾脏异常检出率均在≥20 a工龄组出现异常值最多,0~5 a工龄组异常值最少,各工龄组肝脾肿大、肝脏及胆囊异常检出率,差异均无统计学意义(P〉0.05);男性作业人员在脂肪肝、肝脾肿大、肾脏异常方面检出率高于女性(P〈0.05),在肝脏、胆囊异常方面检出率,男女差异无统计学意义(P〉0.05);生产类型作业人员肝脾肿大检出率远高于热电、巡检作业人员(P〈0.01),肾脏异常检出率低于热电、巡检作业人员(P〈0.01),在脂肪肝、肝脏、胆囊异常方面检出率,差异无统计学意义(P〉0.05);洗涤、过滤、抽滤岗位作业人员脂肪肝发病率最高,其余各项异常检出率,差异无统计学意义(P〉0.05)。结论该制药厂作业人群中B超异常人数较多。[Objective]To analyze the abdominal B ultrasonic examination results(liver,gall bladder,spleen and kidney)among workers of a pharmaceutical factory in Bayan Nur,provide a scientific basis for occupational disease prevention and occupational health management in enterprise.[Methods]1263 workers of a pharmaceutical factory,who have received the occupational health examination in 2015,were enrolled in the study,to analyze their abdominal B ultrasonic examination results. [Results]The differences in detection rates of fatty liver,other liver abnormalities,gallbladder abnormalities and renal abnormalities were statistically significant among different age groups(P〈0.01),and the difference in detection rate of hepatosplenomegaly was not statistically significant among different age groups(P〈0.05). There were statistically significant differences in detection rates of fatty liver and renal abnormalities among different working age groups(P〈0.01),while the workers whose length of service was longer than or equal to 20 years had the highest detection rates of fatty liver and renal abnormalities,and the detection rates in 0-5working years group were the lowest. The differences in detection rates of hepatosplenomegaly,liver abnormalities and gallbladder abnormalities were not statistically significant among different service length groups(P〈0.05). The detection rates of fatty liver,hepatosplenomegaly and renal abnormalities in male workers were significantly higher than those in female workers(P〈0.05),and there were no statistically significant differences in detection rates of liver abnormalities and gallbladder abnormalities between male and female workers(P〈0.05). The detection rate of hepatosplenomegaly in production workers was substantially higher than that in workers engaged in thermoelectric operation and inspection(P〈0.01),while the detection rate of renal abnormalities in the former was lower than that in the latter(P〈0.01),and there were no statistically signifi
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