衡阳市305例肺尘埃沉着病病例结果分析  

Analysis of 305 cases of pneumoconiosis in Hengyang

作　　者：刘华清 何卫红[2] 范锟[2] 邓承健[2] 

机构地区：[1]湖南省衡阳市疾病预防控制中心,湖南衡阳421001 [2]南华大学附属第二医院放射科,湖南衡阳421001

出　　处：《中国当代医药》2017年第15期155-157,共3页China Modern Medicine

摘　　要：目的分析衡阳市近年来肺尘埃沉着病患者的临床发病特点和规律,为肺尘埃沉着病的防治对策及诊断与治疗提供科学依据。方法对2013年1月1日~2016年12月31日衡阳市疾病预防控制中心诊断的通过网络报告收集的305例肺尘埃沉着病患者的体检资料进行分析。结果 305例肺尘埃沉着病患者中,Ⅰ期114例,Ⅱ期135例,Ⅲ期56例;自觉咳嗽、胸闷、气短、咳痰者、胸痛分别占96.14%、89.57%、87.57%、81.43%、56.71%;并发慢性支气管炎、高血压、肺结核、气胸、肺气肿、肺心病、肿瘤的分别占68.59%、65.2%、46.23%、33.77%、33.1%、17.37%、4.2%。肺功能正常的占12.86%,肺功能轻度、中度、重度损伤者分别占17.86%、50.71%、18.57%。肺功能损伤者所占比例,Ⅰ、Ⅱ、Ⅲ期肺尘埃沉着病患者分别为56.25%、95.24%、100.00%,接尘工龄<15年、15~19年和>19~30年者分别为48.15%、93.88%、98.43%。结论肺尘埃沉着病患者并发症患病率较高,肺功能损伤严重。通过职业健康体检及肺尘埃沉着病筛查、定期监测粉尘作业工人的健康状况,对及早发现肺尘埃沉着病并控制肺尘埃沉着病的发生发展具有指导意义。Objective To analyze the pathogenesis and clinical characteristics＇of pneumoconiosis patients in recent years in Hengyang and provide scientific basis for the prevention and treatment of pneumoconiosis.Methods The physical examination data of 305 patients with pneumoeoniosis collected and diagnosed by Hengyang Center for Disease Control and Prevention from January 1^st,2013 to 31^st December 2016 were analyzed.Results Of 305 patients with pneumoconiosis, 114 eases at stage Ⅰ ,135 eases at stage Ⅱ ,and 56 eases at stage Ⅲ.The eases accompanied with cough,chest tightness, shortness of breath,cough up phlegm and ehest pain respectively accounted for 96.14%,89.57%,87.57%,81.43%,and 56.7 1%.The eases complicated with chronic bronchitis,hypertension,tuberculosis,chest,emphysema, lung,the tumor accounted for 68.59%,65.2%,46.23%,33.77%,46.23%,17.37% and 4.2%,respectively.12.86% of patients remained normal lung function.The eases with mild,moderate and severe impaired lung functions respectively accounted for 17.86%,50.71% and 17.86%.Of patients with impaired lung function,the proportion of stage Ⅰ, Ⅱ and Ⅲ pneumoconiosis patients was 56.25%,95.24% and 100.00%;patients with dust exposure time of 〈 15,15-19,and 〉19-30 years respectively accounted for 48.15%,93.88% and 98.43%.Conclusion The pneumoconiosis patients are usuaIty accompanied with high incidence of eomplieations and severely damaged lung function.The regular oeeupational health examination of dust exposure workers and screening of the pneumoeoniosis dust would help to early identify and control the pneumoconiosis.

关 键 词：肺尘埃沉着病 并发症 肺功能损伤 

分 类 号：R135.2[医药卫生—劳动卫生]