《职业健康监护技术规范》标准修订介绍  

Introduction to revision of Technical Specification for Occupational Health Surveillance

作　　者：余晨[1] 李德鸿[1] 孙道远[2] 王祖兵 江朝强[4] 张巡淼 闫永建[5] 袁伟明[6] 宣逸群[7] 乔昕[8] 夏玉静[9] 朱秋鸿[1] 侯强 王红[8] 蒋轶文 张雪涛 齐放[1] 吕向裴[1] 王焕强[1] YU Chen;LI Dehong;SUN Daoyuan;WANG Zubing;JIANG Chaoqiang;ZHANG Xunmiao;YAN Yongjian;YUAN Weiming;XUAN Yiqun;QIAO Xin;XIA Yujing;ZHU Qiuhong;HOU Qiang;WANG Hong;JIANG Yiwen;ZHANG Xuetao;QI Fang;LU Xiangpei;WANG Huanqiang(不详;National Institute of Occupational Health and Poison Control,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心职业卫生与中毒控制所,北京100050 [2]同济大学附属上海市肺科医院(上海市职业病防治院),上海200433 [3]上海市化工职业病防治院,上海200041 [4]广州市职业病防治院,广东广州510280 [5]山东省职业卫生与职业病防治研究院,山东济南250062 [6]浙江省疾病预防控制中心,浙江杭州310057 [7]国家电网公司职业病防治院,浙江杭州311699 [8]北京市化工职业病防治院,北京100093 [9]首都医科大学附属北京朝阳医院,北京100020 [10]辽宁省疾病预防控制中心,辽宁沈阳110005

出　　处：《中国职业医学》2023年第2期209-216,共8页China Occupational Medicine

基　　金：卫生标准制修订计划项目(20160703)。

摘　　要：根据我国职业病相关法律法规、卫生标准、规范和法规性文件的要求,结合我国实际情况,对GBZ 188《职业健康监护技术规范》进行修订。主要修改内容有:增加接触甲苯(二甲苯参照执行)、溴丙烷、碘甲烷、环氧乙烷、氯乙酸、铟及其化合物、煤焦油、煤焦油沥青、石油沥青、β-萘胺、金属及其化合物粉尘(锡、铁、锑、钡及其化合物等)、硬金属粉尘、毛沸石粉尘、低温、激光、森林脑炎病毒、伯氏疏螺旋体、人免疫缺陷病毒的作业人员,以及刮研作业和井下工人长期蹲跪姿、爬行、侧卧、肩扛作业人员的职业健康监护内容;增加了接触砷、氟及其无机化合物、丙烯酰胺作业人员的应急健康检查;接触苯的氨基与硝基化合物、光气、一甲胺、有机氟、硫酸二甲酯作业人员的在岗期间职业健康检查(OME)从推荐性改为强制性,并相应增加离岗时OME;删除结核病、肝炎病防治作业的特殊作业人员职业健康监护;删除OME结论中的复查项,规范复查/补充检查要求;删除上岗前、在岗期间和离岗时OME中的选检项目,保留应急健康检查中的选检项目;增加补充检查项目;增加资料性附录《OME总结报告编制指南》等。修订后的GBZ 188《职业健康监护技术规范》具有一定的科学性和可操作性。To revise GBZ 88 Technical Specification for Occupational Health Surveillance based on national laws,regulations,standards,specifications and legal documents of occupational disease,and combination with the actual situation in China.The main modifications are as follows:the occupational health surveillance for workers exposed to toluene(xylene may implement by reference),bromopropane,methyl iodide,ethylene oxide,chloroacetic acid,indium and its compounds,coal tar,coal tarasphalt,asphalt,β-naphthylamine,dust of metal and its compounds(tin,iron,antimony,barium and its compounds),hard metal dust,erionite dust,low temperature,laser,tick-borne encephalitis virus,Borrelia burgdorferi,and human immunodeficiency virus,for scraper or grind operators,and underground workers using squatting or kneeling position,crawling position,side-lying position,or shoulder position for a long period of time are included.The emergency health screening for workers exposed to arsenic,fluorine and its inorganic compounds,and acrylamide are included.The occupational medical examination(OME)for workers exposed to amino and nitro compounds of benzene,phosgene,monomethylamine,organic fluorine and dimethyl sulfate has been adjusted and made mandatory,with corresponding assessments required upon leaving the job.The special occupational health surveillance for workers exposed to mycobacterium tuberculosis and hepatitis virus is removed.The OME conclusion of reexamination is removed,and standardize recheck/additional inspection requirements.The optional items in OME performed before,during and after leaving post are removed,but the optional items in emergency medical examination are retained.Additional OME items are added.The Guideline for OME Summary Reports is added as informative appendix,and so on.The revised GBZ 188 Technical Specification for Occupational Health Surveillance is more scientific and practical.

关 键 词：职业健康监护 职业健康检查 技术规范 标准 修订 诊断标准 

分 类 号：R135.2[医药卫生—劳动卫生]