2006—2022年四川省2171例尘肺病晋期病例分析  

Analysis of 2171 progressed cases with pneumoconiosis in Sichuan Province from 2006 to 2022

作　　者：商维维[1] 王杨凤 储卫忠 SHANG Weiwei;WANG Yangfeng;CHU Weizhong(Sichuan Center for Disease Prevention and Control,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《职业卫生与病伤》2024年第2期77-82,共6页Occupational Health and Damage

摘　　要：目的分析四川省尘肺病晋期病例特点,为制定尘肺病防控策略提供参考。方法选取2006—2022年四川省尘肺病晋期病例为研究对象,采用SPSS 26.0软件对病例分布特点和晋期时长、接尘工龄等因素进行统计分析。计量资料的比较采用秩和检验,计数资料构成比的比较采用χ2检验,检验水准α=0.05。结果2006—2022年四川省累计报告2171例尘肺病晋期病例(2245例次),男性2167例(99.82%)、女性4例(0.18%),尘肺类别以煤工尘肺(1253例,57.72%)和矽肺(894例,41.18%)为主;行业类别主要为煤炭开采和洗选业(1552例,71.49%),其次是土木工程建筑业(73例,3.36%)和开采及其辅助活动(50例,2.30%);晋期时长4.45(2.23,8.10)年,接尘工龄18(9.54,26.00)年;壹期晋贰期病例的晋期时长最短,为3.61(1.96,6.64)年,壹期晋叁期病例的接尘工龄最长,为20.50(11.63,27.56)年;1960—1969年出生的晋期例次最多,1970—1979开始接尘的晋级叁期例次最多。结论四川省传统采矿行业和建筑业的粉尘危害较为严重,20世纪60年代出生、70年代开始接尘的尘肺病患者病情严重进展风险较高,应加强源头治理和尘肺患者的康复治疗。Objective To analyze the characteristics of progressed cases with pneumoconiosis in Sichuan Province,and to provide reference for formulating prevention and control strategy of pneumoconiosis.Methods Progressed cases of pneumoconiosis in Sichuan Province from 2006 to2022 were selected as the research objects.SPSS 26.0 software was used to statistically analyze the distribution characteristics of the cases,as well as factors such as the duration of progressed stage and the dust-exposed working years.Rank-sum test was used for the comparison of quantitative data,and Chi-square test was used for the comparison of composition ratio of count data.And the test level wasα=0.05.Results There were 2171 progressed cases of pneumoconiosis reported in Sichuan Province from 2006 to 2022(2245 cases),including 2167 males(99.82%)and 4 females(0.18%).The main types of pneumoconiosis were coal workers′pneumoconiosis(1253 cases,57.72%)and silicosis(894 cases,41.18%).The main industry categories were coal mining and washing industry(1552 cases,71.49%),followed by civil engineering construction industry(73 cases,3.36%)and mining and its auxiliary activities(50 cases,2.30%).The average dustexposed duration was 18(9.54,26.00)years while the average time of progression was 4.45(2.23,8.10)years.The duration of the first stage promoting to the second stage was the shortest,3.61(1.96,6.64)years.The dust-exposed duration of the first stage promoting to the third stage was the longest,20.50(11.63,27.56)years.Most progressed cases were born in the 1960 s,and those started dust exposure in the 1970 s had the highest number of promotion to the third stage.Conclusions The dust hazards in traditional mining and construction industries were serious in Sichuan Province.Pneumoconiosis patients born in the 1960 s and starting dust exposure in the 1970s had a higher risk of severe disease progression.Therefore,efforts should be made to strengthen source control and rehabilitation of pneumoconiosis patients.

关 键 词：尘肺病 晋期病例 接尘工龄 

分 类 号：R135.2[医药卫生—劳动卫生]