2016-2018年唐山市私有企业工人疑似职业病追踪结果  

Tracking results of suspected occupational disease of private enterprise workers, Tangshan, 2016-2018

作　　者：艾进颖[1] 封小东 柳建强[1] 王玉君[1] Al Jin-ying;FENG Xiao-dong;LIU Jian-qiang;WANG Yu-jun(Tangshan Center for Disease Control and Prevention,Tangshan,Hebei 063000,China)

机构地区：[1]唐山市疾病预防控制中心,河北唐山063000 [2]唐山市路北区卫生监督所,河北唐山063000

出　　处：《现代预防医学》2020年第3期419-423,共5页Modern Preventive Medicine

基　　金：河北省卫生计生委2018年度医学科学研究重点课题计划(编号20181380)

摘　　要：目的分析唐山市私有企业疑似职业病分布及追踪结果。方法对2016-2018年唐山市私有企业疑似职业病病例进行描述和分析。结果2016-2018年唐山市共报告私有企业疑似职业病373例,占全市疑似病例的47.10%(373/792);职业病分类以疑似尘肺病及其他呼吸系统疾病为主,占89.81%(335/373).疑似职业病平均发展速度和增长速度分别为180.0%和80.0%,呈逐年增长趋势。排除、确诊、未申请例数各占总例数的8.85%(33/373)、14.74%(55/373)、76.41%(285/373),小型和微型企业未申请率高于中型企业(P<0.05),综合医院来源的病例未申请率高于疾控中心来源的病例(P<0.05)。疑似职业病确诊例数与申请例数的比例即一致率为62.50%(55/88)。本研究因素中企业规模、报告单位可能增加了疑似职业病未申请诊断的危险性(OR值均>1,P<0.05)。结论唐山市私有企业疑似职业病呈增长趋势,疑似尘肺病是主要病种,疑似职业病未申请率高,重点应加强对小微型企业和医疗机构管理,提高疑似职业病申请率和诊断准确率。Objective To analyze the distribution and tracing results of suspected occupational diseases of private enterprises in Tangshan City.Methods The suspected occupational diseases cases reported from 2016 to 2018 of private enterprises in Tangshan City were described and analyzed.Results A total of 373 suspected occupational diseases cases of private enterprise were reported from 2016 to 2018,accounting for 47.10%(373/792).The classification of occupational diseases was mainly suspected pneumoconiosis and other respiratory diseases,accounting for 89.81%(335/373).The average development rate and growth rate of suspected occupational diseases were 180.00%and 80.00%respectively,showing an increasing trend by year.The cases of excluded,diagnosed and unapplied suspected occupational diseases accounted for 8.85%(33/373),14.74%(55/373)and 76.41%(285/373)of the total cases,respectively.The unapplied rate of small and micro enterprises was higher than that of medium-sized enterprises(P<0.05),and the unapplied rate of cases from general hospitals was higher than that of cases from the Centers for Disease Control and Prevention(P V 0.05).The coincidence rate of confirmed and applied suspected occupational diseases was 62.50%(55/88).The enterprise size and reporting unit might increase the risk of an unapplied diagnosis of suspected occupational diseases(OR>1,P V 0.05).Conclusion Suspected occupational diseases of private enterprises are on the rise in Tangshan City.Suspected pneumoconiosis is the main disease type,and the unapplied rate of suspected occupational diseases is high.Therefore,it is necessary to strengthen the management of small and micro enterprises and medical institutions to improve the application rate and diagnostic accuracy of suspected occupational diseases.

关 键 词：疑似职业病 私有企业 追踪结果 影响因素 

分 类 号：R135[医药卫生—劳动卫生]