首页|2022年四川省26 722名矽尘作业人员职业健康检查异常结果分析

2022年四川省26 722名矽尘作业人员职业健康检查异常结果分析

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目的 了解四川省矽尘作业工人员职业健康状况,通过分析其异常结果发现职业健康问题,为制定矽肺防治策略提供参考.方法 在四川省职业病防治综合管理信息系统和中国疾病预防控制中心职业病与健康危害因素监测信息系统中导出四川省2022年矽尘作业工人全部职业健康检查(不包括上岗前)数据,用SPSS 26.0软件对体检指标异常情况进行分析,率之间的比较采用x2检验或趋势x2检验,检验水准α=0.05.结果 26 722位矽尘作业人员中有4 235人肺功能异常(检出率15.85%),47人尘肺样改变(检出率0.18%).尘肺样改变检出率排前3的地区为内江、成都和乐山,检出率分别为0.52%、0.41%和0.35%;肺功能异常检出率排前3的地区为宜宾、阿坝和巴中,检出率分别为20.96%、20.55%和20.37%,不同地区尘肺样改变和肺功能异常检出率差异均有统计学意义(P均<0.05).肺功能异常人员主要分布于制造业、采矿业和建筑业,不同行业间检出率差异有统计学意义(x2=45.983,P<0.001).尘肺样改变和肺功能异常人员主要分布在小型企业.随着工龄增加,肺功能异常率呈逐渐升高趋势(x2趋势=68.886,P<0.001).结论 四川省矽尘作业人员较多,尘肺样改变率较低,但肺功能异常检出率较高,且具有明显的地区和行业聚集性,应采取积极措施,减少矽尘对劳动者的健康影响.
Analysis on the abnormal results of occupational health examination of 26722 silica dust workers in Sichuan Province in 2022
Objective To understand the occupational health status of silicon dust workers in Sichuan Province,to identify occupational health problems by analyzing their occupational health examination results,and to provide reference for formulating silicosis prevention and control strategies.Methods All occupational health examination data(excluding pre-employment)of workers exposed to silica dust in Sichuan Province in 2022 were exported from the Sichuan Occupational Disease Prevention and Control Comprehensive Management Information System and the Occupational Disease and Health Hazard Factor Monitoring Information System of the China Center for Disease Control and Prevention.Software SPSS 26.0 was used to analyze abnormal situation of the examination indicators,x2 test was used for inter-group comparison,and the test level was α=0.05.Results Among 26 722 silica dust workers,4 235 had abnormal lung function(detection rate 15.85%)and 47 had pneumoconiosis like changes(detection rate 0.18%).The top three areas with high detection rates of pneumoconiosis like changes were Neijiang City,Chengdu City,and Leshan City,with rates of 0.52%,0.41%and 0.35%,respectively.While the top three areas in the detection rate of abnormal lung function were Yibin City,Aba Prefecture and Bazhong City,with rates of 20.96%,20.55%and 20.37%,respectively.There were statistically significant differences among different regions in the detection rates of pneumoconiosis like changes and pulmonary dysfunction(P<0.05).People with pulmonary dysfunction were mainly distributed in manufacturing,mining and construction industries,and there was a statistically significant difference in the detection rate among different industries(x2=45.983,P<0.001).People with pneumoconiosis like changes and abnormal lung function were mainly distributed in small businesses.With the increase of service length,the rate of abnormal lung function showed a gradually increasing trend(x2trend=68.886,P<0.001).Conclusions There were a large number of workers exposed to silica dust in Sichuan Province,with a low rate of pneumoconiosis like changes.However,the rate of pulmonary dysfunction was high,and there was an obvious regional and industrial clustering.Active measures should be taken to reduce the health impact of silica dust on workers.

silica dustpneumoconiosisoccupational health examinationlung function

商维维、王杨凤、储卫忠

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四川省疾病预防控制中心,成都 610041

矽尘 尘肺 职业健康检查 肺功能

四川省科技厅项目

2021JDR0338

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(4)
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