腹部超声及接触职业危害因素员工超声体检  

Abdominal Ultrasound and Ultrasound Physical Examination for Employees Exposed to Occupational Hazardous Factors

作　　者：余银霞 李兴文 肖惠方 吴斌洪 YU Yin-xia;LI Xing-wen;XIAO Hui-fang;WU Bin-hong(Zhongshan Tongfang Rehabilitation Hospital,Guangdong 528401,China;Zhongshan People's Hospital,Guangdong 528401,China;B-ultrasound Room,Imaging Department,Zhongshan Dongsheng Hospital,Guanglong 528401,China)

机构地区：[1]中山同方康复医院,广东528401 [2]中山市人民医院,广东528401 [3]中山市东升医院影像科B超室,广东528401

出　　处：《影像技术》2023年第6期17-21,共5页Image Technology

摘　　要：目的:分析腹部超声及接触职业危害因素员工超声体检现状。方法:将我院近年来(2021.1-2022.12)与防控中心共同监测的具有接触职业危害因素的员工共50例作为本次观察组观察对象,另将50名无接触职业危害因素的员工作为对照组,并对两组人员进行超声检查,分析疾病检出率(肝脏异常、脾脏异常、胆囊异常、胰脏异常、肾脏异常、两种及以上),以超声联合相关影像学检查为金标准,分析灵敏度、特异度、阳性预测值、阴性预测值,同时分析患病人群年龄分布情况(分别为20-30岁、31-40岁、41-50岁、51-60岁)。结果:观察组疾病检出率明显高于对照组,对比有统计学意义(P<0.05);分析患病人群年龄分布可见,51-60岁人群疾病患病率明显更高于其他年龄段人群,其次为41-50岁人群,对比有统计学意义(P<0.05);与金标准诊断相比较,超声检出灵敏度、特异度、阳性预测值、阴性预测值分别为92.50%、90.00%、97.36%、75.00%。结论:腹部超声检查能够帮助临床对接触职业危害因素的员工身体现状进行确诊,是检测各项器官异常的首选方法,对多种职业病检出均有重要作用,可在临床中推广应用。Objective:To analyze the status quo of abdominal ultrasound and ultrasonic physical examination of employees exposed to occupational hazard factors.Methods:A total of 50 cases of employees with exposure to occupational hazard factors conducted in our hospital in recent years(2021.1-2022.12)with the Prevention and Control Center were selected as the observation group,and another 50 employees without exposure to occupational hazard factors were selected as the control group,and ultrasound examination was performed on the two groups.The detection rate of diseases(abnormal liver,abnormal spleen,abnormal gallbladder,abnormal pancreas,abnormal kidney,two or more kinds)was analyzed.Ultrasound combined with related imaging examination was used as the gold standard.Sensitivity,specificity,positive predictive value and negative predictive value were analyzed.At the same time,the age distribution of the affected population(20-30 years old,31-40 years old,41-50 years old,51-60 years old)was analyzed.Results:The detection rate of disease in observation group was significantly higher than that in control group,and the comparison was statistically significant(P<0.05).The analysis of age distribution of patients showed that the prevalence of disease in 51-60 years old was significantly higher than that in other age groups,followed by 41-50 years old,with statistical significance(P<0.05).Compared with the gold standard diagnosis,the sensitivity,specificity,positive predictive value and negative predictive value of ultrasonic detection were 92.50%,90.00%,97.36% and 75.00%,respectively.Conclusion:Abdominal ultrasonography can help diagnose the physical status of employees exposed to occupational hazard factors in clinic.It is the preferred method to detect various organ abnormalities.It plays an important role in the detection of various occupational diseases and can be popularized in clinic.

关 键 词：腹部超声 职业危害 因素 员工 体检 

分 类 号：R135[医药卫生—劳动卫生] R445.1[医药卫生—公共卫生与预防医学]