潍坊市尘肺病患者随访与回顾性调查  

Follow-up and retrospective investigation of patients with pneumoconiosis,Weifang city

作　　者：杨群[1] 徐东[1] 袁义昌[1] 高学芬 付涛 牟小平 官一龙 高菡 马卫邦 栾绪全 秦德玉 程玉洁 别娜 张小非 曹学江 付中建 孙玫 张桂军 YANG Qun;XU Dong;YUAN Yi-chang;GAO Xue-fen;FU Tao;MU Xiao-ping;GUAN Yi-long;GAO Han;MA Wei-bang;LUAN Xu-quan;QIN De-yu;CHENG Yu-jie;BIE Na;ZHANG Xiao-fei;CAO Xue-jiang;FU Zhong-jian;SUN Mei;ZHANG Gui-jun(Department of occupational Disease Prevention and Control,Weifang City Center for Disease Control and Prevention,Weifang,Shandong,261061,Shandong,China;不详)

机构地区：[1]潍坊市疾病预防控制中心职业病防制科,山东261061 [2]潍坊市坊子区疾病预防控制中心 [3]潍坊市临朐县疾病预防控制中心 [4]潍坊市奎文区疾病预防控制中心 [5]潍坊市潍城区疾病预防控制中心 [6]诸城市疾病预防控制中心 [7]潍坊市昌乐县疾病预防控制中心 [8]安丘市疾病预防控制中心 [9]青州市疾病预防控制中心1 [10]潍坊市高新区疾病预防控制中心1 [11]高密市疾病预防控制中心1 [12]昌邑市疾病预防控制中心1 [13]潍坊市峡山区疾病预防控制中心1 [14]寿光市疾病预防控制中心1 [15]潍坊市寒亭区疾病预防控制中心1 [16]潍坊市滨海区疾病预防控制中心

出　　处：《预防医学论坛》2022年第4期241-244,273,共5页Preventive Medicine Tribune

基　　金：山东省潍坊市卫健委科研项目(WFWSJK-2020-192)。

摘　　要：目的摸清山东省潍坊市职业性尘肺病底数,分析潍坊市尘肺病发病特点及保障情况,为潍坊市尘肺病防制提供依据。方法以山东省潍坊市1949年新中国成立至2019年12月31日报告的2075例尘肺病患者为调查对象,开展随访与回顾性调查,对尘肺病患者的尘肺病种、年龄、工龄、行业类别、保障情况等进行描述性分析。结果2075例患者中,存活1396例,死亡607例,失访72例;尘肺病种类主要以矽肺(757例、占36.48%)和煤工尘肺(656例、占31.61%)居多;尘肺病例总体诊断年龄以45~54岁为主(1356例、占65.35%),平均诊断年龄为(51.33±8.62)岁,平均接尘工龄为(22.15±7.58)年;病例数最多的行业是煤炭开采和洗选业(922例、占44.43%);保障方面,1396例存活患者,以职工城乡医保为主(1310例、保障率93.84%),其次为工伤保险(722例、保障率51.72%),再次为用人单位赔付(617例、保障率44.20%)。结论潍坊市尘肺病例前三位的病种分别是矽肺、煤工尘肺、电焊工尘肺,病例数前三位的行业分别是煤炭开采和洗选业、汽车制造业、非金属矿物制造业,尘肺病患者医疗负担依然较重。Objective To find out the basis of occupational pneumoconiosis in Weifang city,Shandong province,and analyze the characteristics of pneumoconiosis and the protection situation,so as to provide the basis for prevention and control of pneumoconiosis in Weifang city.Methods A total of 2075 cases of pneumoconiosis patients who were reported from 1949 to December 31,2019 in Weifang city,Shandong province were investigated.The follow-up and retrospective investigation were carried out.The pneumoconiosis species,age,length of work,industry category,and security situation of pneumoconiosis patients were descriptively analyzed.Results Among 2075 cases of pneumoconiosis,1396 cases survived,607 cases died,and 72 cases failed to be followed up.Major types of pneumoconiosis included silicosis(757 cases,36.48%)and coal workers’pneumoconiosis(656 cases,31.61%).The average diagnostic age of pneumoconiosis was 51.33±8.62 years old,and the cases mainly concentrated on 45-54 year-old age group(1356 cases,65.35%).The average exposure time of patients was 22.15±7.58 years.The industries involved were mainly coal mining and washing industry(922 cases,44.43%).In terms of security,1310 patients(93.84%)were covered by basic medical insurance for urban and rural resident,722 patients(51.72%)were covered by occupational injury insurance,617 patients(44.20%)were covered by employer’s compensation.Conclusion The top 3 diseases of pneumoconiosis cases in Weifang city are silicosis,coal worker’s pneumoconiosis and welder’s pneumoconiosis.The top 3 industries are coal mining and washing industry,automobile manufacturing industry and non-metallic mineral manufacturing industry.The medical burden of pneumoconiosis patients is still heavy.

关 键 词：尘肺 职业病 职业卫生 肺纤维化 潍坊 

分 类 号：R135.2[医药卫生—劳动卫生] TD78.2[医药卫生—公共卫生与预防医学] TD78.2[矿业工程—矿井通风与安全]