2006～2010年长沙市尘肺诊断病例分析  

Analysis of pneumoconiosis cases of Changsha City from 2006 to 2010

作　　者：官玉红[1] 龚禧[1] 张玉莲[1] 

机构地区：[1]长沙市疾病预防控制中心,湖南长沙410001

出　　处：《湖南师范大学学报（医学版）》2011年第1期94-97,共4页Journal of Hunan Normal University(Medical Sciences)

摘　　要：目的:了解2006～2010年长沙市尘肺病例诊断情况,为尘肺防治工作提供依据。方法:收集国家职业病网络直报系统2006年1月1日～2010年12月31日长沙市尘肺病例报告卡基本信息及长沙市厂矿企业基本情况调查表,对尘肺病的诊断情况进行回顾性分析。结果:2006～2010年长沙市共诊断尘肺病例170例,其中新病例159例,晋期病例11例;新病例中Ⅰ期尘肺107例,Ⅱ期尘肺31例,Ⅲ期尘肺21例;9个区县均有尘肺病例发生,以岳麓区、望城县和宁乡县为主,三区县尘肺病例数占总尘肺病例数的73.5%;诊断尘肺病种类有矽肺、铸工尘肺、煤工尘肺、陶工尘肺、水泥尘肺、石棉肺和其他尘肺7种,其中以矽肺最多(133例,占83.6%),其次为煤工尘肺(14例,占8.8%)和铸工尘肺(8例,占5.0%);接尘工龄2～36年,平均10.7±5.6年;诊断年龄39～89岁,平均59.7±3.7岁;50～59、60～69岁两年龄段诊断尘肺病例最多;三个不同期别尘肺接尘工龄存在差异,诊断年龄无明显差异;尘肺合并肺结核的发生率为15.7%。结论:尘肺病防治是我市职业病防治工作重点,尤其需加强矽尘和煤尘的防尘治理工作,保障劳动者身体健康。Objective To understand concrete conditions of pneumoconiosis in Changsha city from 2006 to 2010,and provide evidence for prevention and treatment of pneumoconiosis.Methods Pneumoconiosis cases cards from national occupational disease network straight quote system and Changsha's enterprise investigation lists were collected and retrospectively analyzed.Results 170 pneumoconiosis cases were established in Changsha city from 2006 to 2010,including 159 new cases and 11 upgrade cases.New cases included 107 1-period pneumoconiosis,31 2-period pneumoconiosis and 21 3-period pneumoconiosis,mainly occurred in Yuelu,Wangcheng and Ningxiang district,accounting for 73.5%.7 types of pneumoconiosis existed,including silicosis,casting pneumoconiosis,coal worker pneumoconiosis,potter pneumoconiosis,cement pneumoconiosis,asbestosis and other pneumoconiosis.Silicosis was the main type(83.6%),secondly coal worker pneumoconiosis(8.8%) and potter pneumoconiosis(5.0%).Dust seniority 2～36 years,average 10.7±5.6,and diagnostic age 39～89 years old,average 59.7±3.7.Dust seniority was different but diagnostic age indifferent between three types of pneumoconiosis.Lung tuberculosis was the main compliation of pneumoconiosis,which incidence was 15.7%.Conclusion Prevention of pneumoconiosis is the main key work of occupational disease prevention,especially silica dust and coal dust should be managed strenthenly.

关 键 词：尘肺 诊断 分析 

分 类 号：R135.2[医药卫生—劳动卫生]