2014至2018年江苏省网络报告疑似职业性慢性铅中毒及随后诊断情况分析  

Analysis of suspected occupational chronic lead poisoning reported online and subsequent diagnosis in Jiangsu Province from 2014 to 2018

作　　者：高茜茜[1] 张恒东 朱宝立[3] 余彬[1] 韩磊[1] Gao Qianqian;Zhang Hengdong;Zhu Baoli;Yu Bin;Han Lei(Occupational Disease Prevention and Control Institute of Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210028,China;Jiangsu Preventive Medicine Association,Nanjing 210028,China;Global Health Center of Nanjing Medical University,Nanjing 211166,China)

机构地区：[1]江苏省疾病预防控制中心职业病防治所,南京210028 [2]江苏省预防医学会,南京210028 [3]南京医科大学全球健康中心,南京211166

出　　处：《中华劳动卫生职业病杂志》2022年第1期57-60,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：《强制性职业病诊断标准实施评估:职业性慢性铅中毒》项目(20192009);江苏省青年医学人才项目(QNRC2016536);江苏省自然科学基金(BK20181488)。

摘　　要：目的了解江苏省网络报告(简称网报)疑似职业性慢性铅中毒的分布及特点,追踪疑似病例最终诊断情况。方法收集2014至2018年进行网报的江苏省疑似职业性慢性铅中毒病例为调查对象,以2014年1月1日至2019年11月5日《职业病报告卡》的上报情况为依据,对疑似病例及最终确诊病例的分布特点和上报机构进行分析。结果2014至2018年江苏省网报疑似职业性慢性铅中毒共312例,不同年份网报职业性慢性铅中毒、网报疑似职业性慢性铅中毒及疑似职业性慢性铅中毒确诊病例数分布差异均有统计学意义(P<0.05),以2015年较多。网报疑似职业性铅中毒病例中男性236例(75.6%),主要分布在制造业,246例(79.1%)从事操作工。网报疑似职业性慢性铅中毒病例全部集中在私营企业,229例(73.4%)存在于中小型企业;病例数前三的城市分别是宿迁111例(35.6%)、扬州79例(25.3%)、淮安50例(16.0%)。2014至2018年江苏省网报疑似职业性慢性铅中毒病例最终确诊19例,确诊率为6.1%。结论江苏省网报疑似职业性慢性铅中毒病例以男性、制造业、中小型企业居多,且网报疑似职业性慢性铅中毒病例的最终确诊率较低。Objective To understand the distribution and characteristics of suspected occupational chronic lead poisoning reported online by Jiangsu Province,and to track the final diagnosis of suspected cases.Methods The suspected occupational chronic lead poisoning cases in Jiangsu Province reported online from 2014 to 2018 were collected as the survey objects.Based on the reporting of the Occupational Disease Report Card from January 1,2014 to November 5,2019,the distribution characteristics and reporting institutions of suspected cases and final confirmed cases were analyzed.Results From 2014 to 2018,312 cases of suspected occupational chronic lead poisoning were reported online in Jiangsu Province.There were significant differences in the number of online reported cases of occupational chronic lead poisoning,online reported cases of suspected occupational chronic lead poisoning and confirmed cases of suspected occupational chronic lead poisoning in different years(P<0.05),especially in 2015.Among the suspected occupational lead poisoning cases reported online,236 cases(75.6%)were male,mainly distributed in the manufacturing industry,and 246 cases(79.1%)were operators.All the suspected occupational chronic lead poisoning cases reported online were concentrated in private enterprises,229 cases(73.4%)in small and medium-sized enterprises.The top three cities were Suqian with 111 cases(35.6%),Yangzhou with 79 cases(25.3%)and Huai'an with 50 cases(16.0%).From 2014 to 2018,19 suspected cases of occupational chronic lead poisoning were finally confirmed in Jiangsu Province,with a diagnosis rate of 6.1%.Conclusion The majority of suspected occupational chronic lead poisoning cases reported online in Jiangsu Province are men,manufacturing and small and medium-sized enterprises,and the final diagnosis rate of suspected occupational chronic lead poisoning cases reported online is low.

关 键 词：铅中毒 职业病 疑似职业病 诊断 分析 

分 类 号：R135.11[医药卫生—劳动卫生]