佛山市顺德区手传振动作业工人职业健康检查结果分析  

Analysis on occupational health examination results of hand-transmitted vibration workers in Shunde District of Foshan City

作　　者：朱文杰 王谦可[1] 凌灵[1] 欧阳燕芬[1] 吴秀娟[1] 邱奕冰 ZHU Wenjie;WANG Qianke;LING Ling;OUYANG Yanfen;WU Xiujuan;QIU Yibing(Occupational Disease Prevention and Control Department,Foshan Shunde District Chronic Disease Control Center,Foshan Guangdong,528300,China;Guangdong Chaozhou Health Vocational College,Chaozhou Guangdong,521000,China)

机构地区：[1]佛山市顺德区慢性病防治中心职业病防治科,广东佛山528300 [2]广东潮州卫生健康职业学院,广东潮州521000

出　　处：《职业与健康》2024年第11期1549-1552,共4页Occupation and Health

基　　金：佛山市卫生健康局医学科研项目(20220397)。

摘　　要：目的分析手传振动作业工人职业健康检查结果,为手传振动作业的职业病防治工作提供科学依据。方法采用判断抽样方法,以2018—2022年在佛山市顺德区慢性病防治中心进行在岗期间职业健康检查的915名接触手传振动作业工人为研究对象,收集工人在岗期间的职业健康检查结果,重点收集神经肌电图(electroneuromyography,ENMG)结果进行统计分析。结果915名工人中ENMG异常179人,异常率为19.56%。单因素分析结果显示,婚姻、年龄、总工龄、接害工龄、工种、企业规模、企业经济类型和企业行业类型均是手传振动作业工人ENMG异常的影响因素(均P<0.05)。多因素logistic回归分析结果显示,年龄、企业规模、企业行业类型均是手传振动作业工人ENMG异常的影响因素(均P<0.05)。结论在手传振动的职业病防治工作中,应重视对小微型企业、金属制品业的分类监管,应加大对年龄较大工人的研究与保护。Objective To analyze the occupational health examination results of hand-transmitted vibration operation workers and provide scientific basis for the prevention and control of occupational diseases in hand-transmitted vibration operations.Methods The judgment sampling method was adopted,a total of 915 workers who were exposed to the operation of hand-transmitted vibration during on-the-job occupational health examination from 2018 to 2022 in Shunde Chronic Disease Prevention and Control Center of Foshan City were selected as the research objects.The occupational health examination results of workers during their on-duty period were collected,with a focus on collecting electroneuromyography(ENMG)results for statistical analysis.Results Among 915 workers,179 ENMG cases were abnormal,with an abnormal rate of 19.56%.The results of univariate analysis showed that marriage,age,total length of service,length of service at risk,type of work,enterprise scale,enterprise economic type and industry type were all influencing factors for abnormal ENMG in hand-transmitted vibration operation workers(all P<0.05).Multivariate logistic regression analysis showed that age,enterprise scale and industry type were all influencing factors for abnormal ENMG in hand-transmitted vibration operation workers(all P<0.05).Conclusion In the prevention and control of occupational diseases caused by hand-transmitted vibration,attention should be paid to the classification and supervision of small and micro enterprises and the metal product industry,and research and protection of older workers should be strengthened.

关 键 词：手传振动 职业健康检查 手臂振动病 神经肌电 

分 类 号：R135[医药卫生—劳动卫生]