2018—2022年沧州市重点职业病监测结果分析  

Analysis of monitoring results of key occupational diseases in Cangzhou City from 2018 to 2022

作　　者：韩钰 孙红轩 张从容[1] 周文茹[1] 陈静[2] 翟亚楠 HAN Yu;SUN Hongxuan;ZHANG Congrong;ZHOU Wenru;CHEN Jing;ZHAI Yanan(Department of Occupational Health,Cangzhou Center for Disease Control and Prevention,Cangzhou,Hebei 061000,China;Department of Information,Cangzhou Center for Disease Control and Prevention,Cangzhou,Hebei 061000,China;Physical and Chemical Laboratory,Cangzhou Center for Disease Control and Prevention,Cangzhou,Hebei 061000,China)

机构地区：[1]沧州市疾病预防控制中心职业卫生科,河北沧州061000 [2]沧州市疾病预防控制中心信息科,河北沧州061000 [3]沧州市疾病预防控制中心理化检验科,河北沧州061000

出　　处：《职业与健康》2025年第1期119-122,共4页Occupation and Health

基　　金：沧州市科技计划项目(222106068)。

摘　　要：目的对2018—2022年沧州市重点职业病监测结果进行分析,为沧州市职业病防治工作制定政策、完善法规标准、建立健全监管工作机制、明确职业卫生工作重点提供依据和支撑。方法收集2018—2022年沧州市各职业健康检查机构上报的职业健康检查结果,从职业卫生数据采集系统中导出数据至Excel建立数据库,采用SPSS 21.0进行统计分析。结果2018—2022年沧州市开展职业健康检查工作的机构数、监测病种数、监测企业数、实际职业健康检查劳动者人数均逐年增加;2018—2022年监测企业规模和经济类型的分布差异均有统计学意义(均P<0.05),微型企业和其他经济类型企业数量增长最迅速;职业健康检查率最高的危害因素为噪声,涉及企业4646家次,涉及接害劳动者130624人次。沧州市重点职业病检出率为0.003%,不同危害因素劳动者间重点职业病检出率比较,差异有统计学意义(P<0.01),各年度间检出率比较,差异有统计学意义(P<0.01),年度检出率趋势性检验差异有统计学意义(χ_(趋势)^(2)=12.529,P<0.01)。疑似职业病检出率为0.01%,各年度间疑似职业病检出率差异有统计学意义(P<0.01),年度检出率趋势性检验差异有统计学意义(χ_(趋势)^(2)=9.563,P<0.01)。结论沧州市在今后的职业病防治工作中应重点加强粉尘、噪声职业病危害因素的防控工作,同时需重视疑似职业病的检出情况,进一步加强行政部门的监管力度,提高职业健康检查率,保护劳动者健康。Objective To analyze the monitoring results of key occupational diseases in Cangzhou City from 2018 to 2022,so as to provide basis and support for formulating policies,improving regulations and standards,establishing and improving supervision mechanism,and clarifying the focus of occupational health work in Cangzhou City.Methods The occupational health examination results reported by various occupational health examination institutions in Cangzhou City from 2018 to 2022 were collected,and a database was established with Excel.Data were sorted and analyzed with SPSS 21.0.Results From 2018 to 2022,the number of institutions,monitored diseases,monitored enterprises and actual occupational health examination workers in Cangzhou City all increased year by year.From 2018 to 2022,there were statistical differences in the distribution of monitored enterprise size and economic type(both P<0.05),and the number of micro-enterprises and other economic types of enterprises increased most rapidly.The hazard factor with the highest occupational health examination rate was noise,involving 4646 enterprises and 130624injured workers.The detection rate of key occupational diseases in Cangzhou City was 0.003%,and there was a statistical difference in the detection rate of key occupational diseases among workers with different risk factors(P<0.01).There was also a statistically significant difference in the detection rate between different years(P<0.01).The difference in the trend test of annual detection rate was statistically significant(χ_(trend)^(2)=12.529,P<0.01).The detection rate of suspected occupational diseases was 0.01%,and there were a statistical difference in the suspected occupational disease detection rate between different years(P<0.01),and the trend test of the annual detection rate also showed a statistically significant difference(χ_(trend)^(2)=9.563,P<0.01).Conclusion Cangzhou City should focus on strengthening the prevention and control of occupational disease hazards such as dust and noise in future occupatio

关 键 词：重点职业病 疑似职业病 职业病危害因素 

分 类 号：R135[医药卫生—劳动卫生]