2023年泰兴市苯作业人群职业健康检查结果分析  

Analysis on the results of occupational health inspection for benzene workers in Taixing City 2023

作　　者：孙娟[1] 王飞霞[1] 姚着猛 SUN Juan;WANG Feixia;YAO Zhuomeng(Taixing Center for Disease Control and Prevention,Taixing 225400,Jiangsu Province,China)

机构地区：[1]泰兴市疾病预防控制中心公共卫生科,江苏泰兴225400

出　　处：《职业卫生与病伤》2025年第1期51-57,共7页Occupational Health and Damage

摘　　要：目的对泰兴市苯作业人群职业健康监护情况进行总结与分析,为苯的职业危害预防提出对策与建议。方法选取2023年泰兴市参加在岗期间职业健康检查的3699名接触苯作业的一线工人作为观察组;另外在该平台选取同期参加在岗期间职业健康检查的不接触苯及其他血液毒性物质的电工作业、机加工作业及后勤工人共3700名作为对照组,对一般项目指标及血常规关键指标进行卡方检验及多因素Logistic回归分析,以P<0.05为差异有统计学意义。结果2023年泰兴市共调查观察组3699人,对照组3700人,观察组中血常规和肝功能异常率均高于对照组,心电图异常率低于对照组,差异有统计学意义(P均<0.05);观察组在白细胞计数(χ^(2)=10.196,P=0.001)、中性粒细胞计数(χ^(2)=4.083,P=0.043)、血小板计数(χ^(2)=8.966,P=0.003)异常率均高于对照组;单因素分析发现观察组中白细胞计数异常率在接害工龄间差异有统计学意义(P=0.015);中性粒细胞计数异常率在性别、接害工龄间差异有统计学意义(P均<0.05);血小板异常率在企业规模、性别、年龄之间差异有统计学意义(P均<0.05);多因素分析发现,小微型企业(OR=1.125,95%CI:1.102~1.379,P<0.001)、女性(OR=1.029,95%CI:1.007~1.051,P<0.001)是血小板异常的独立危险因素;女性(OR=1.104,95%CI:1.091~1.299,P=0.008)和接害工龄越长(OR=1.121,95%CI:1.193~1.247,P=0.005)是中性粒细胞计数异常的独立危险因素。结论2023年泰兴市苯作业人群中有21.2%的工人出现血常规指标异常,受企业规模、性别及接害工龄的影响,为保障职工的身体健康,在平时的生产活动中应加强对苯职业危害的预防。Objective To summarize and analyze the occupational health monitoring situation of the benzene workers in Taixing City,and to put forward countermeasures and suggestions for the prevention of occupational hazards of benzene.Methods Total of 3699 benzene-exposed front-line workers who participated in the on-the-job occupational health examination in Taixing city in 2023 were selected as the observation group;Another 3700 electricians,machinists,and logistic workers who were not exposed to benzene and other blood toxicants who participated in the on-the-job occupational health examination in the same period were selected as the control group,the chi-square test and multifactorial Logistic regression analysis were performed on the key indexes of general item and blood routine,and the difference P<0.05 was considered statistically significant.Results In 2023,a total of 3699 individuals were investigated in the observation group,and 3700 individuals were in the control group in Taixing City.In the observation group,the rates of blood routine and liver function abnormality were higher than that of the control group,and the rate of electrocardiogram abnormality was lower than that of the control group,the difference was considered statistically significant(all P<0.05);In the observation group,the abnormality rates of white blood cell count(χ^(2)=10.196,P=0.001),neutral count(χ^(2)=4.083,P=0.043),and platelet count(χ^(2)=8.966,P=0.003)were higher than those of the control group;Univariate analysis showed that the difference in the abnormal rate of white blood cell count was statistically significant among the age of benzene work(P=0.015);The abnormal rate of neutrophil count was statistically significant among the gender and age of benzene work(all P<0.05);Platelet abnormality rate was statistically significant between enterprise size,gender,and age(all P<0.05);Muti-factor analysis found that the small and microenterprises(OR=1.125,95%CI:1.102-1.379,P<0.001),and female(OR=1.029,95%CI:1.007-1.051,P<0.001)were independe

关 键 词：苯 职业健康检查 血常规检查 

分 类 号：R135.12[医药卫生—劳动卫生]