2016年巴彦淖尔市重点职业病职业健康检查结果  

Results of occupational health examination for key occupational diseases in Bayannaoer City in 2016

作　　者：金凤[1] 杨玉红[1] 赵普[1] 桂丽[1] 宋香艳 岳巧彬 JIN Feng;YANG Yu-hong;ZHAO Pu;GUI Li;SONG Xiang-yan;YUE Qiao-bin(Occupational Disease Prevention and Control Department, Bayannaoer Center for Disease Control and Prevention, Bayannaoer lnner 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,内蒙古巴彦淖尔015000

出　　处：《职业与健康》2018年第5期600-603,共4页Occupation and Health

摘　　要：目的了解巴彦淖尔市接触职业病危害因素的在岗职工职业健康状况,为制定职业病防治策略和措施提供依据。方法从职业病与职业卫生信息监测系统导出,对2016年接触布鲁菌、煤尘、矽尘和噪声危害因素的6 009名在岗职工的职业健康检查资料进行统计分析。采用Excel数据透视表功能和应用SPSS 19.0统计软件对取得的数据进行汇总和分析。结果发现疑似职业病(职业性布鲁菌病24例,职业性煤工尘肺2例,职业性矽肺38例)共64例(1.07%);噪声作业工人职业健康检查纯音听阈测试提示双耳高频平均听阈≥40 d B 122人(4.81%),在不同工龄间差异有统计学意义(P<0.05),工龄≥35年异常率最高(50.00%),在不同性别间差异有统计学意义(P<0.05),男性异常率(5.72%)明显高于女性(1.35%);肺功能用力肺活量实测值占预测值的百分比(FVC%)异常1 189例(36.82%),用力呼气量实测值占预测值百分比(FEV1.0%)异常34例(1.05%),第1秒用力呼气量占用力肺活量百分比(FEV1.0/FVC%)<70%异常22例(0.68%);高仟伏或数字成像(DR)胸片异常情况在不同工龄间的差异有统计学意义(P<0.05),在30~34年组异常率最高(14.82%);高仟伏或DR胸片在性别间的差异有统计学意义(P<0.05),高仟伏或DR胸片男性异常明显高于女性;高仟伏或DR胸片异常在不同年龄间差异有统计学意义(P<0.05),在50~59岁最显著(8.49%);布鲁菌抗体实验室化验结果在30~39年龄段检出率最高(18.47%),男性检出率(11.36%)高于女性检出率(9.04%)。结论巴彦淖尔市职业性危害因素主要为布鲁菌、粉尘和噪声。应加强对屠宰企业、粉尘作业和噪声作业工人的职业健康防护。职业病的防治重点是屠宰企业和采矿业。企业应加强防护设施和个人防护措施,做好职业监护相关的宣传教育。[Objective]To understand the occupational health status among on-the-job workers who were exposed to the occupational hazards in Bayannaoer City,provide evidence for developing the occupational disease prevention and control strategies and measures.[Methods]The data were derived from occupational diseases and occupational health information monitoring system,and the occupational health examination results of 6 009 on-the-job workers who were exposed to the brucella,coal dust,silica dust and noise in 2016 were statistically analyzed.Excel pivot table and SPSS 19.0 statistical software were applied in the data summary and analysis.[Results ]There were totally 64（1.07%）cases of suspected occupational disease,including 24 cases of occupational brucellosis,2 cases of coal workers pneumoconiosis and 38 cases of occupational silicosis.In the pure tone audiometry,122（4.81%）workers showed the results of binaural high frequency hearing threshold ≥40 d B.The difference was statistically significant among different working age groups（P〈0.05）,and the abnormal rate in workers with working age ≥35 a was the highest（50.00%）.The difference was statistically significant between sex groups（P〈0.05）,and the abnormal rate in males（5.72%）was significantly higher than that in females（1.35%）.1 189（36.82%）workers had the abnormal results of percentage of measured value to predicted value of forced vital capacity（FVC%）,34（1.05%）workers had the abnormal results of percentage of measured value to predicted value of forced expiratory volume（FEV1.0%）,and 22（0.68%）had the abnormal results of percentage of forced expiratory volume in first second to forced vital capacity 〈70%.The difference in abnormal results of high k V chest radiograph or digitalradiography（DR）was statistically significant among different working age groups（P〈0.05）,and the abnormal rate workers with working age of 30-34 years was the highest（14.82%）.The difference in abnormal results of high k V chest rad

关 键 词：重点职业病 职业健康检查 职业病防治策略 

分 类 号：R181.31[医药卫生—流行病学]