2021—2023年成都市某区重点职业病监测结果分析  

Analysis on monitoring results of key occupational diseases in a district of Chengdu City from 2021 to 2023

作　　者：陈梦曦 胡金宇 温雅 陆兰馨 陈小波 CHEN Mengxi;HU Jinyu;WEN Ya;LU Lanxin;CHEN Xiaobo(Health Monitoring Department,Chengdu Chenghua District Center for Disease Control and Prevention,Chengdu,Sichuan 610000,China;Nutrition and Food Safety Department,Chengdu Center for Disease Control and Prevention,Chengdu,Sichuan 610000,China)

机构地区：[1]成都市成华区疾病预防控制中心卫生监测科,四川成都610000 [2]成都市疾病预防控制中心营养与食品安全科,四川成都610000

出　　处：《职业与健康》2025年第3期294-298,共5页Occupation and Health

摘　　要：目的分析2021—2023年成都市某区重点职业病监测结果与工作场所职业病危害因素监测结果,掌握辖区内劳动者健康水平及危害因素暴露情况,同时评估重点职业病发病风险,为制定和完善该辖区重点职业病防治策略提供理论依据。方法通过监测系统收集2021—2023年成都市某区存在重点职业病危害因素的企业申报信息、劳动者职业健康检查个案和工作场所职业病危害因素现场检测资料,分别用Excel软件和R4.3.2软件对数据进行整理归纳与统计分析。结果2021—2023年成都市某区监测存在重点职业病危害因素企业425家次,监测接害劳动者17926人次;接受职业健康检查劳动者29105人次,新发职业病3例,不同年度检出率差异无统计学意义。疑似职业病检出率为0.06%,不同年度间的检出率差异有统计学意义(P<0.05),且年度变化呈下降趋势;职业禁忌证检出率为0.72%,专项检查指标异常者检出率为6.48%,两者不同危害因素和不同年度间的检出率差异均有统计学意义(均P<0.05),均呈明显下降趋势。工作场所重点职业病危害因素主动监测企业岗位合格率为91.91%,点位合格率为90.69%,仅噪声作业岗位和作业点位存在超标,但噪声作业岗位不同年度间合格率差异有统计学意义(P<0.05),年度变化呈上升趋势。结论成都市某区近3年重点职业病防控形势整体有所好转,但仍需加强工作场所噪声危害治理,督促企业积极开展职业病危害项目申报,同时提高专项检查指标异常劳动者职业健康监护频次,预防辖区内重点职业病的发生。Objective To analyze the monitoring results of key occupational diseases and workplace occupational hazard factors in a district of Chengdu City from 2021 to 2023,master the health level of workers and the exposure of hazard factors within the jurisdiction,assess the risk of major occupational diseases,and provide a theoretical basis for formulating and improving the prevention and control strategy of key occupational diseases in the jurisdiction.Methods The declaration information of enterprises with key occupational hazard factors,the occupational health examination cases of workers,and the field monitoring data of occupational hazard factors in the workplace in a District from 2021 to 2023 were collected through the relevant monitoring system.Excel software and R4.3.2 software was used to organize and summarize the data and statistical analysis.Results From 2021 to 2023,425 enterprises with key occupational disease hazard factors were monitored in a district of Chengdu City,and 17926 exposed workers were monitored.29105 workers received occupational health examination,there were three cases of new occupational diseases,and there was no statistically significant difference in the detection rate among different years.The detection rate of suspected occupational diseases was 0.06%,the difference in the detection rate between different years was statistically significant(P<0.05),and the annual change showed a downward trend.The detection rate of occupational contraindicated syndrome was 0.72%,and the detection rate of abnormal special examination indicators was 6.48%.There were statistically significant differences in both detection rates among different hazard factors and different years(all P<0.05),and both showed an obvious downward trend.The qualified rate of posts in active monitoring enterprises for key occupational hazard factors in workplaces was 91.91%,while the qualified rate of points was 90.69%,and only noisy posts and points exceeded the standard,but the difference was statistically significant in the

关 键 词：重点职业病 监测 风险评估 

分 类 号：R135[医药卫生—劳动卫生]