江苏省非煤矿山行业矽肺发病情况分析  

Analysis of the incidence of silicosis in non-coal mine industry in Jiangsu Province

作　　者：周琅 叶萌[2] 朱宝立[1] 张恒东[1] 谢丽庄[1] 韩磊[1] ZHOU Lang;YE Meng;ZHU Bao-li;ZHANG Heng-dong;XIE Li-zhuang;HAN Lei(Center for Disease Control and Prevention of Jiangsu,Nanjing,Jiangsu 210028,China;不详)

机构地区：[1]江苏省疾病预防控制中心,江苏南京210028 [2]中国疾病预防控制中心职业卫生与中毒控制所,北京100050

出　　处：《现代预防医学》2020年第20期3698-3700,3704,共4页Modern Preventive Medicine

基　　金：江苏省"333工程"科研项目(BRA2018398);江苏省卫生健康委科研课题(Y2018076);职业健康风险评估与国家职业卫生标准制定项目(131031109000150003)。

摘　　要：目的收集2006-2017年江苏省非煤矿山行业相关信息及其职工患病情况,归纳总结矽肺发病特征,为今后我省非煤矿山职业安全管理体系的建设提供参考。方法通过江苏省职业病危害申报和职业病网报系统收集相关行业信息及矽肺患者资料,采用SPSS 19.0软件进行数据的统计分析,计量资料经正态性检验符合正态分布者以(x±s)描述,计量资料的组间比较采用单因素方差分析,方差分析后若差异有统计学意义,则进一步采用SNK-q检验进行两两比较。结果我省非煤矿山行业111家企业以微型(89.19%)、私有经济(82.88%)、非金属矿采选业(91.89%)为主,其职业病危害风险分类多为严重(82.88%);2017年非煤矿山企业开展职业健康检查率约27.93%;患者尘肺期别多为壹期(64.15%),尤以非金属矿采选业患者最多(81.22%);确诊的矽肺患者212例中,不同期别矽肺患者的平均确诊年龄和平均发病潜伏期间均有统计学意义(P<0.05);叁期患者确诊年龄(54.92±6.50)岁小于壹期(59.59±10.27)岁、叁期发病潜伏期(23.13±12.48)年低于壹期(33.47±12.74)年和贰期(29.76±15.62)年(P<0.05)。结论需重视非金属矿采选业的职业危害及叁期矽肺患者的健康状况,企业对接尘职工职业健康监护的重视度仍需进一步提高。Objective To collect relevant information about non-coal mine industry in Jiangsu Province from 2006 to 2017 and the situation of its employees,sum up the characteristics of silicosis,and provide reference for the construction of noncoal mine occupational safety management system in our province.Methods Collect relevant industry information and silicosis patient data through the Jiangsu Province Occupational Disease Hazard Declaration and Occupational Disease Network Reporting System,and use SPSS 19.0 software for statistical analysis of the data.The measurement data is described as x±s if the measurement data meets the normal distribution after the normality test.The comparison of measurement data between groups adopts one-way analysis of variance.If the result is significant after the analysis of variance,the SNK q test is further used for pairwise comparison.Results The non-coal mine industry in our province is dominated by micro(89.19%),private economy(82.88%)and non-metal mining and mining industry(91.89%).The occupational hazard risk classification is mostly serious.In 2017,non-coal mine enterprises carried out occupational health check rate of 27.93%;patients have more pneumoconiosis During the flood season(64.15%),the number of patients in the non-metallic mineral mining industry was the highest(81.22%).Among the 212 confirmed silicosis patients,the average age at diagnosis and the average incubation period of silicosis patients in different stages were statistically significant(P<0.05);the age at diagnosis was less than that in the flood season,and the incubation period was lower than that in the flood season and the flood season(P<0.05).Conclusion It is necessary to pay attention to the occupational hazards of non-metallic mining and dressing industry and the health status of patients with silicosis during the flood season.The importance of enterprises for occupational health surveillance of dustcollecting workers still needs to be further improved.

关 键 词：江苏省 非煤矿山 矽肺 确诊年龄 发病潜伏期 

分 类 号：R135.2[医药卫生—劳动卫生]