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2017-2023年江西省赣州市新发职业性尘肺病特征

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目的 分析江西省赣州市新发职业性尘肺病的发病特征,为尘肺病康复站点建设及职业病防治工作提供科学依据.方法 收集职业病及健康危害因素监测信息系统报告的2017-2023年赣州市新发职业性尘肺病病例信息,对性别、年龄、工龄、种类、地区和行业分布等特征进行描述性分析.结果 共报告新发职业病291例,其中职业性尘肺病260例,占8935%.260例尘肺病以矽肺最多(234例,90.00%),以壹期尘肺为主(186例,71.54%);病例诊断年龄为(51.88±5.64)岁,接尘工龄中位数M(P25,P75)为11.79(7.85,20.00)年;不同县区尘肺病病种和期别分布差异均具有统计学意义(x2值分别为147.436、44.679,P均<0.05).尘肺病新发病例来自6个行业,以采矿业为主(187例,71.92%),不同行业的职业性尘肺病病种分布差异具有统计学意义(x2=90.474,P<0.05);主要分布在内资企业(254例,97.69%),以中小型企业为主(231例,88.85%),不同企业规模的职业性尘肺病病种分布差异有统计学意义(x2=23.309,P<0.05).结论 赣州市新发职业病具有地域特点,应进一步加强重点县区钨钼矿及稀有稀土金属矿等采矿行业的职业病防控.
The characteristics of new occupational pneumoconiosis cases in Ganzhou,Jiangxi,from 2017 to 2023
Objective To analyze the incidence characteristics of new occupational pneumoconiosis cases in Ganzhou from 2017 to 2023,and provide scientific evidence for the construction of follow-up pneumoconiosis rehabilitation stations and the prevention and treatment of occupational diseases.Methods The information of new occupational disease cases in Ganzhou City from 2017 to 2023 was collected from the Surveillance Information System of Occupational Diseases and Health Hazard Factors.The characteristics of occupational disease,number of cases,length of service,type,region and industry distribution were analyzed descriptively.Results In total,291 new cases of occupational diseases reported,including 260 new cases of occupational pneumoconiosis,accounting for 89.35%.Among 260 cases of occupational pneumoconiosis,silicosis was the most(234 cases,90.00%).There were 186 cases of stage I pneumoconiosis,accounting for 71.54%.The average age of diagnosis was(51.88±5.64)years.The average of service length of diagnosis M(P25,P75)was 11.79(7.85,20.00)years.The distribution of pneumoconiosis in different counties had statistical significance(x2=147.436,P<0.05).The difference of pneumoconiosis stage distribution among counties was statistically significant(x2=44.679,P<0.05).The 260 new cases of occupational pneumoconiosis came from 6 industries,mainly from the mining industry(187 cases,71.92%)(x22=90.474,P<0.05).The new cases of occupational pneumoconiosis were mainly distributed in domestic enterprises,accounting for 97.69%(254/260);small and medium enterprises were the mainly enterprises,accounting for 88.85%(231/260).There was significant difference in the distribution of occupational pneumoconiosis among different sizes of enterprises(x2=23.309,P<0.05).Conclusions Considering the geographical specific of the new occupational diseases in Ganzhou,we should further strengthen the prevention and control of occupational diseases in tungsten-molybdenum ore and rare earth metal ore in key county districts.

Newly occupational pneumoconiosisEpidemiological characteristicsPrevention of occupational diseasesNonferrous metal

宋英利、段德昌、邹志祥、廖勇

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赣州市疾病预防控制中心职业卫生科,江西赣州 341000

新发职业性尘肺病 流行特征 职业病防治 有色金属矿

2024

河南预防医学杂志
河南省预防医学会

河南预防医学杂志

影响因子:0.409
ISSN:1006-8414
年,卷(期):2024.35(9)