2019—2022年江苏省尘肺病主动监测成效分析  

Analysis on effectiveness of active monitoring of pneumoconiosis in Jiangsu Province from 2019to2022

作　　者：周琅 韩磊[1] 赵圆[1] 高茜茜[1] 谢丽庄[1] ZHOU Lang;HAN Lei;ZHAO Yuan;GAO Qianqian;XIE Lizhuang(Occupational Disease Prevention and Control Institute,Jiangsu Center for Disease Control and Prevention,Nanjing,Jiangsu 210028,China)

机构地区：[1]江苏省疾病预防控制中心职业病防治所,江苏南京210028

出　　处：《职业与健康》2024年第16期2174-2178,共5页Occupation and Health

基　　金：江苏省科技计划专项资金(重点研发计划社会发展)项目(BE2022803);江苏省医学重点学科(ZDXK202249);职业性尘肺病数字化标准片技术指南(BZ2023-Q017);职业性尘肺病数字化标准片应用研究(JSJZ20231207)。

摘　　要：目的回顾性分析2019—2022年江苏省开展的尘肺病主动监测等相关工作,总结4年工作成效并分析不足之处,为今后尘肺病防治工作提供参考。方法参照全国和江苏省的尘肺病主动监测工作方案,依托江苏省职业病防治信息管理平台和“中国知网”“万方数据资源”等数据库,收集汇总相关监测、随访数据和中文期刊文献,并对数据进行分析。结果江苏省尘肺病核心指标的主动监测中每年度实际完成主动监测人数均超过当年的国家任务数,且尘肺样改变人数和尘肺样改变检出率逐年递减。江苏省的中小微企业中接触铸造粉尘、矽尘、电焊烟尘、水泥粉尘的劳动者存在尘肺样改变的现象,且劳动者多集中于采矿业和制造业;尘肺病哨点医院筛查每年度均筛查出有尘肺样改变的接尘工人,且有尘肺样改变人数和尘肺样改变检出率逐年递减;尘肺病患者医学随访率逐年递增,2022年随访率达100.00%;截至2023年6月30日,该工作科研产出正式刊登发表在国内中文期刊论文累计22篇,其中南京市发表论文数最多(9篇,占40.9%),疾病预防控制机构发表论文数最多(20篇,占90.91%),中文核心期刊6篇(27.27%)。结论2019—2022年江苏省本次尘肺病主动监测推动了全省尘肺病防治工作高质量发展,今后需重点关注存在这些粉尘危害的中小微企业的职业现场粉尘浓度监测和高危行业劳动者的职业健康。Objective To retrospectively analyze the active monitoring of pneumoconiosis and other related work carried out in Jiangsu Province from 2019 to 2022,summarize the effectiveness of the work over the past 4 years and analyze the shortcomings,in order to provide reference for future prevention and control work of pneumoconiosis.Methods Referring to the national and Jiangsu Province's active monitoring work plan for pneumoconiosis,relying on the Jiangsu Province Occupational Disease Prevention and Control Information Management Platform and databases such as China National Knowledge Infrastructure and Wanfang Data Resources,relevant monitoring and follow-up data and Chinese journal literature were collected and summarized,and the data were analyzed.Results In the active monitoring of the core indicators of pneumoconiosis,the actual number of people who completed active monitoring each year exceeded the number of national tasks for that year,and the number of pneumoconiosis like changes and the detection rate of pneumoconiosis like changes showed a decreasing trend year by year.Workers in small and medium-sized enterprises in Jiangsu Province who exposed to casting dust,silica dust,welding fume,and cement dust experienced pneumoconiosis like changes,and the workers were mostly concentrated in the mining and manufacturing industries.The screening of pneumoconiosis sentinel hospitals annually identifies dust exposed workers with pneumoconiosis like changes,and the number and detection rate of pneumoconiosis like changes decreased year by year.The medical follow-up rate of patients with pneumoconiosis had been increasing year by year,with a follow-up rate of 100.00%in 2022.As of June 30,2023,the research output of this work had been officially published in a total of 22 papers in domestic Chinese journals,with the highest number of papers published in Nanjing(9,accounting for 40.9%),the highest number of papers published in disease control institutions(20,accounting for 90.91%),and 6 papers published in Chinese core jou

关 键 词：江苏省 尘肺病 主动监测 医学随访 

分 类 号：R135.2[医药卫生—劳动卫生]