江苏省尘肺病患者随访与回顾性调查研究  

Follow-up and retrospective investigation of patients with pneumoconiosis in Jiangsu Province, China

作　　者：谢丽庄[1] 周琅 赵圆[1] 刘静 王炜[3] 张伟 陆敏霞[5] 杨跃新[6] 周志文[7] 庄家毅[8] 何冬冬[9] 张宏群[10] 李小琴 李艳平[12] 张萍[13] 何仁伟[14] 朱宝立[1] 张恒东[1] 韩磊[1] Xie Lizhuang;Zhou Lang;Zhao Yuan;Liu Jing;Wang Wei;Zhang Wei;Lu Minxia;Yang Yuexin;Zhou Zhiwen;Zhuang Jiayi;He Dongdong;Zhang Hongqun;Li Xiaoqin;Li Yanping;Zhang Ping;He Renwei;Zhu Baoli;Zhang Hengdong;Han Lei(Nanjing Occupational Disease Prevention and Control Institute,Nanjing 210042,China;Wuxi Center for Disease Control and Prevention,Wuxi 214023,China;Xuzhou Center for Disease Control and Prevention,Xuzhou 221002,China;Changzhou Center for Disease Control and Prevention,Changzhou 213003,China;Suzhou Center for Disease Control and Prevention,Suzhou 215004,China;Nantong Center for Disease Control and Prevention,Nantong 226004,China;Lianyungang Center for Disease Control and Prevention,Lianyungang 222001,China;Huaian Center for Disease Control and Prevention,Huaian 223021,China;Yancheng Center for Disease Control and Prevention,Yancheng 224002,China;Yangzhou Center for Disease Control and Prevention,Yangzhou 225001,China;Zhenjiang Center for Disease Control and Prevention,Zhenjiang 212004,China;Taizhou Center for Disease Control and Prevention,Taizhou 225306,China;Suqian Center for Disease Control and Prevention,Suqian 223899,China;Jiangsu Province Center for Disease Control and Prevention,Nanjing 210028,China)

机构地区：[1]江苏省疾病预防控制中心,南京210028 [2]南京市职业病防治院,210042 [3]无锡市疾病预防控制中心,214023 [4]徐州市疾病预防控制中心,221002 [5]常州市疾病预防控制中心,213003 [6]苏州市疾病预防控制中心,215004 [7]南通市疾病预防控制中心,226004 [8]连云港市疾病预防控制中心,222001 [9]淮安市疾病预防控制中心,223021 [10]盐城市疾病预防控制中心,224002 [11]扬州市疾病预防控制中心,225001 [12]镇江市疾病预防控制中心,212004 [13]泰州市疾病预防控制中心,225306 [14]宿迁市疾病预防控制中心,223899

出　　处：《中华劳动卫生职业病杂志》2020年第4期251-255,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：江苏省"333工程"科研项目(BRA2018398);江苏省青年医学人才项目(QNRC2016536);江苏省卫生健康委科研课题(Y2018076)。

摘　　要：目的:分析江苏省尘肺病发病特点、变化趋势和规律,了解尘肺病患者健康状况。方法:于2019年7至10月,以江苏省截至2018年底报告的所有尘肺病患者为调查对象,开展随访与回顾性调查,共调查尘肺病患者24405例。通过居民死因监测系统、尘肺病网络报告系统、职业病诊断机构、职业病报告业务管理单位和尘肺病患者所在的居委会或村委会获取相关资料,并对已报告的尘肺病患者进行电话或上门随访,收集尘肺病患者相关情况。对尘肺病患者的发病年龄、工龄、性别、行业类别、尘肺种类、发病年度、地区分布以及保障情况等进行描述性分析。结果:24405例患者中,男女性别比为16.81∶1,尘肺壹期患者15948例(65.35%)、贰期患者5289例(21.67%)、叁期患者1637例(6.71%);平均接尘工龄(16.25±9.95)年,尘肺壹期、贰期、叁期患者平均接尘工龄分别为(15.80±9.95)、(17.82±9.80)、(16.31±9.90)年。报告病例数前5位的设区市分别是无锡市(5744例,23.54%)、镇江市(4160例,17.05%)、徐州市(3851例,15.78%)、盐城市(3340例,13.69%)、苏州市(2948例,12.08%)。尘肺病种类主要以矽肺(15392例,63.07%)和煤工尘肺(5253例,21.52%)居多。完成随访的患者21115例,其中存活15924例,死亡5191例;存活患者年龄以≥70岁年龄段(7461例,46.85%)居多,接尘工龄以5~9年(2515例,15.79%)居多;行业分布以煤炭开采和洗选业(5687例,35.71%)、公共管理、社会保障和社会组织(3349例,21.03%)居多;保障方面:享受工伤保险保障7999人(50.23%),用人单位赔付946人(5.94%),城乡居民基本医疗保险4537人(28.49%),大病保险1590人(9.98%),其他(医疗救助、扶贫救助等)5458人(34.28%)。结论:江苏省尘肺病防治重点为矽肺和煤工尘肺,要加强对粉尘危害严重行业和地区的监管。Objective To investigate the features,changing trend,and rules of pneumoconiosis in Jiangsu Province,China,as well as the health status of patients with pneumoconiosis.Methods From July to October 2019,the patients with pneumoconiosis,reported up to the end of 2018 in Jiangsu Province,were enrolled as respondents,and follow-up and retrospective investigation were performed.A total of 24405 patients with pneumoconiosis were investigated,and related data were collected from the monitoring system of cause of death for residents,pneumoconiosis network reporting system,occupational disease diagnosis institution,management institutions for the reporting of occupational diseases,and related residents'committee or village committee.The patients with pneumoconiosis,who had been reported,were followed up by telephone or on-site visit to obtain the information on their conditions.A descriptive analysis was performed for age of onset,working years,sex,category of industry,type of pneumoconiosis,annual disease onset,geographic distribution,and medical security.Results Among the 24405 patients,a male/female ratio was 16.81∶1.Of all 24405 patients,15948(65.35%)had stage 1 pneumoconiosis,5289(21.67%)had stage 2 pneumoconiosis,and 1637(6.71%)had stage 3 pneumoconiosis.The mean working years for dust exposure was 16.25±9.95 years for all patients,and the mean working years for dust exposure was 15.80±9.95 years for patients with stage 1 pneumoconiosis,17.82±9.80 years for patients with stage 2 pneumoconiosis,and 16.31±9.90 years for patients with stage 3 pneumoconiosis.The highest number of cases of pneumoconiosis was reported in Wuxi(5744 cases,accounting for 23.54%),followed by Zhenjiang(4160 cases,accounting for 17.05%),Xuzhou(3851 cases,accounting for 15.78%),Yancheng(3340 cases,accounting for 13.69%),and Suzhou(2948 cases,accounting for 12.08%).Major types of pneumoconiosis included silicosis(15392 cases,accounting for 63.07%)and coal workers'pneumoconiosis(5253 cases,accounting for 21.52%).In this survey,21115 complete

关 键 词：尘肺 职业病 流行病学研究 随访研究 回顾性研究 

分 类 号：R135.2[医药卫生—劳动卫生]