2005-2023年山东省淄博市职业性尘肺病发病特征分析  

Analysis on distribution characteristics of occupational pneumoconiosis in Zibo city,Shandong province from2005 to 2023

作　　者：李宁[1] 段化莉[2] 苏东红 孙晓晨 宋丰江 LI Ning;DUAN Hua-li;SU Dong-hong;SUN Xiao-chen;SONG Feng-jiang(Institute for Occupational Health and Poisong Control,Zibo City Center for Disease Control and Prevention,Shandong255026,China;Testing and Evaluation Center,Zibo Hospital of Occupational Disease)

机构地区：[1]淄博市疾病预防控制中心职业卫生与中毒控制所,山东255026 [2]淄博市职业病防治院检测评价中心

出　　处：《预防医学论坛》2024年第11期806-809,共4页Preventive Medicine Tribune

基　　金：山东省医药卫生科技发展计划项目(2017WS377);山东省淄博市重点研发计划项目(2019gy010096);山东省淄博市科技发展计划项目(2017kj010093)。

摘　　要：目的 分析2005-2023年淄博市尘肺病的分布特点,发现发病规律,为尘肺病防治提供参考。方法 从中国疾病预防控制中心健康危害监测信息系统导出2005-2023年山东省淄博市各职业病诊断机构诊断上报的尘肺病确诊病例数据,对尘肺病病例进行回顾性分析,分析尘肺病类型、诊断年龄、接尘工龄、尘肺病分期等特征。结果 2005-2023年淄博市尘肺病患者2 772例,以煤工尘肺1 624例(58.59%)、矽肺889例(32.07%)为主。平均诊断年龄为(54.47±10.87)岁。接尘工龄中位数为26(19.0,30.0)年。女性在平均诊断工龄和接尘工龄方面均低于男性,差异有统计学意义(P<0.05)。女性以矽肺为主(86.78%),男性以煤工尘肺为主(62.32%)。结论 2005-2023年淄博市报告的职业性尘肺病以煤工尘肺和矽肺为主,40~59岁是发病的主要年龄段,矽肺患者的接尘工龄低于煤工尘肺和其他尘肺患者,女性尘肺病患者的平均诊断年龄和接尘工龄均低于男性。Objective To analyze the distribution characteristics of pneumoconiosis in Zibo city from 2005 to 2023,and discover the incidence pattern,so as to provide references for the prevention and treatment of pneumoconiosis in Zibo city.Methods The data of confirmed cases of pneumoconiosis diagnosed and reported by various occupational disease diag-nostic institutions of Zibo city,Shandong province from 2005 to 2023 was exported from the Health Hazard Monitoring Information System of the Chinese Center for Disease Control and Prevention.Through the retrospective analysis of pneu-moconiosis cases,the characteristics of pneumoconiosis type,age at diagnosis,dust exposure duration,and pneumoconiosis staging were analyzed.Results There were 2772 patients with pneumoconiosis in Zibo city,mainly coal worker pneu-moconiosis and silicosis,accounting for 90.66%of the total pneumoconiosis patients;the mean age of diagnosis was(54.47±10.87)years,and the median length of service for dust exposure was 26(19.0,30.0)years.The incidence a-mong women was lower than that among men,and the difference was significant(P<o.05).Women mainly suffered from silicosis(86.78%),while men mainly suffered from coal worker pneumoconiosis(62.32%).Conclusion The oc-cupational pneumoconiosis reported in Zibo city from 2005 to 2023 is mainly coal worker's pneumoconiosis and silicosis,with the age range of 40 to 59 being the main age group for onset.Silicosis patients have lower exposure to dust than coal workers pneumoconiosis and other pneumoconiosis patients,and the average age of diagnosis and exposure to dust for fe-male pneumoconiosis patients are lower than those for male patients.

关 键 词：尘肺病 矽肺 煤工尘肺 职业病 

分 类 号：R183.3[医药卫生—流行病学] R195.4[医药卫生—公共卫生与预防医学]