北京市通州区319例尘肺病患者健康寿命损失年的计算及分析  

Calculation and analysis of years lived with disability of 319 pneumoconiosis patients in Tongzhou District of Beijing

作　　者：佟卉[1] 刘思佳[1] 袁建国[1] 李长江[1] TONG Hui;LIU Si-jia;YUAN Jian-guo;LI Chang-jiang(Department of Occupational Hygiene,Beijing Tongzhou District Center for Disease Control and Prevention,Beijing,101100,China)

机构地区：[1]北京市通州区疾病预防控制中心职业卫生科,北京101100

出　　处：《职业与健康》2022年第3期303-307,共5页Occupation and Health

摘　　要：目的了解北京市通州区319例尘肺病患者的健康寿命损失年(years lived with disability,YLD)情况,为该地区今后的尘肺病防治工作提供一定的数据支持。方法以截止到2021年7月31日通过“职业病及健康危害因素监测信息系统”平台获得的北京市通州区319例尘肺病个案资料作为分析对象,描述尘肺病患者的一般情况、YLD情况,分析YLD在不同分层情况下的数据对比情况。结果319例尘肺病患者的年龄分布在30~86岁,平均(52.41±11.75)岁。319例尘肺病患者的YLD合计为2704.66年,M(P_(25),P_(75))为8.41(2.03,15.62)年。<40岁年龄段患者的YLD高于其他年龄段患者(H=124.553,χ^(2)=23.112、18.212、17.257、40.357,均P<0.05),尘肺Ⅰ期患者的YLD高于其他分期的患者(H=88.634,χ^(2)=25.331、38.112,均P<0.05),石棉肺患者的YLD高于其他尘肺类型患者(H=136.520,χ^(2)=24.368、37.258、24.125,均P<0.05),伤残等级数值较高患者的YLD高于其他伤残等级数值较低的患者(H=87.632,χ^(2)=32.358、31.256、29.994,均P<0.05),私有经济企业患者的YLD高于其他经济类型的患者(H=99.657,χ^(2)=39.945、42.309,均P<0.05),微型以及小型企业患者的YLD高于其他企业规模的患者(H=162.58,χ^(2)=77.425、61.258、80.354、48.369、62.007、72.358,均P<0.05),不同居住街道尘肺病患者的YLD数据比较,差异无统计学意义(H=1.023,P>0.05)。结论尘肺病会给患者个体带来较为沉重的健康寿命损失,尤其对于<50岁的职业人群的健康监测需要重度关注。另外,需要有关部门对微小型私有企业进行严格的监管,降低尘肺病的发病率,推迟发病时间,有效减轻尘肺病的健康负担。Objective To understand the Years lived with disability(YLD)of 319 pneumoconiosis patients in Tongzhou District of Beijing,provide certain data support for the future policy formulation of pneumoconiosis prevention and treatment in the region.Methods The data of 319 pneumoconiosis cases in Tongzhou District of Beijing obtained through the"Health hazard factors information monitoring system"platform as of July 31,2021 were used as the research object.The general condition and YLD condition of patients with pneumoconiosis were described.The data comparison of YLD under different stratification conditions was analyzed.Results The ages of all patients ranged from 30 to 86 years old,with an average age of(52.41±11.75)years old.The total YLD of all patients was 2704.66 years,and M(P_(25),P_(75))was 8.41(2.03,15.62)years.The YLD of patients under 40 years of age was higher than that of patients in other age groups(H=124.553,χ^(2)=23.112,18.212,17.257,40.357,all P<0.05).The YLD of patients with pneumoconiosis stage I was higher than that of patients with other stages(H=88.634,χ^(2)=25.331,38.112,all P<0.05).The YLD of asbestos lung patients was higher than that of other pneumoconiosis patients(H=136.520,χ^(2)=24.368,37.258,24.125,all P<0.05).The YLD of patients with higher disability grade values was higher than that of other patients with lower disability grade values(H=87.632,χ^(2)=32.358,31.256,29.994,all P<0.05).The YLD of patients in privately-owned enterprises was higher than that of patients in enterprises of other economic types(H=99.657,χ^(2)=39.945,42.309,all P<0.05).The YLD of patients in micro and small enterprises was higher than that of patients in enterprises of other scale(H=162.58,χ^(2)=77.425,61.258,80.354,48.369,62.007,72.358,all P<0.05).There was no statistically significant difference in YLD data among patients with pneumoconiosis in different residential streets(H=1.023,P>0.05).Conclusions Pneumoconiosis will bring heavy loss of health life to individual patients,especially it is necessary to

关 键 词：尘肺病 健康寿命损失年 职业病 公共卫生 流行病学 伤残等级 期望寿命 

分 类 号：R135.2[医药卫生—劳动卫生]