2010-2019年株洲市职业性尘肺病患者生存状况及其影响因素  

Survival Status and Influencing Factors of Occupational Pneumoconiosis Patients in Zhuzhou City from 2010 to 2019

作　　者：贺琳 刘甘泉 吴忧 HE Lin;LIU Ganquan;WU You(Occupational Disease Department,Zhuzhou Labor Health and Occupational Disease Prevention and Control Center,Zhuzhou,Hunan Province,412011 China;Occupational Health Monitoring Department,Zhuzhou Labor Health and Occupational Disease Prevention and Control Center,Zhuzhou,Hunan Province,412011 China;Hazard Risk As-sessment Department,Zhuzhou Labor Health and Occupational Disease Prevention and Control Center,Zhuzhou,Hu-nan Province,412011 China)

机构地区：[1]株洲市劳动卫生职业病防治中心职业病科,湖南株洲412011 [2]株洲市劳动卫生职业病防治中心职业健康监护科,湖南株洲412011 [3]株洲市劳动卫生职业病防治中心危害风险评估科,湖南株洲412011

出　　处：《中国卫生产业》2024年第1期198-200,215,共4页China Health Industry

摘　　要：目的研究本市职业性尘肺病患者的生存状况以及可能的影响因素。方法回顾性选取2010—2019年本市职业性尘肺病新发及死亡病例的临床资料。重点分析职业性尘肺病患者生存状况的影响因素。结果2010—2019累计新发尘肺病1092例,已病死138例,病死率为12.64%;患者生存时间为2~120个月,平均107.30个月。不同性别、年龄、行业的职业性尘肺病患者的生存时间对比,差异无统计学意义(P均>0.05);不同接尘工龄、疾病种类、尘肺病分期患者的生存时间对比,差异有统计学意义(P均<0.05);COX生存分析结果显示,接尘工龄较长、尘肺病分期较高是职业性尘肺病患者生存状况的独立危险因素(P均<0.05)。结论接尘工龄较长、尘肺病分期较高可能是其生存状况的独立危险因素,需加强劳动者职业健康监护,早筛查出可疑尘肺样变者,早脱离粉尘接触,减缓尘肺病情进展。Objective To study the living conditions and possible influencing factors of patients with occupational pneumoconiosis in this city.Methods The clinical data of new cases and deaths of occupational pneumoconiosis from 2010 to 2019 were retrospectively selected.The factors influencing the survival status of occupational pneumoconiosis patients were analyzed.Results From 2010 to 2019,there were a total of 1092 cases of new pneumoconiosis,and 138 cases died,with a fatality rate of 12.64%.The survival time of patients ranged from 2 to 120 months,with an average of 107.30 months.There was no significant difference in the survival time of occupational pneumoconiosis patients with different sex,age and industry(all P>0.05).The survival time of patients with different dust exposure age,disease type and stage of pneumoconiosis were compared,and the differences were statically significant(all P<0.05).COX sur-vival analysis showed that long exposure to dust and high stage of pneumoconiosis were independent risk factors for the survival status of occupational pneumoconiosis patients(both P<0.05).Conclusion Long exposure to dust and higher stages of pneumoconiosis may be the independent risk factors of their living conditions.Occupational health monitoring of workers should be strengthened to screen out suspected pneumoconiosis as early as possible,and get rid of dust exposure as early as possible to slow down the progression of pneumoconiosis.

关 键 词：职业性尘肺病 生存状况 接尘工龄 尘肺病分期 

分 类 号：R135.2[医药卫生—劳动卫生]