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2021~2022年煤矿工人职业性尘肺病发病特征分析

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目的 分析2021~2022年煤矿工人的职业健康体检情况以及职业性尘肺病发病特征。方法 筛选2021~2022年本中心"体检软件录入系统"和"职业病及健康危害因素监测信息系统"录入的5588例煤矿工人的资料,分析不同类型煤矿工人职业健康检查情况,职业健康检查异常情况,职业性尘肺病期别检出情况,职业性尘肺病工种、发病工龄分布情况,相同工龄的采煤工与掘进工职业性尘肺病占比情况。结果 2021~2022年5588例煤矿工人中,大型煤矿体检工人最多,共4206例,中小型煤矿体检工人共1382例。5588例体检的煤矿工人中共检出256例疑似职业性尘肺病,经职业病诊断的医疗卫生机构诊断,最终共诊断出203例职业性尘肺病患者,其中Ⅰ期95例,Ⅱ期80例,Ⅲ期28例。203例职业性尘肺病患者中,以掘进工分布最多,共88例(43。35%)。203例职业性尘肺病患者中,发病工龄以10~20年最多,共97例(47。78%)。相同工龄中,掘进工职业性尘肺病患者占比高于采煤工。结论 2021~2022年,煤矿工人的职业性尘肺病发病风险较高,用人单位需加强职业性尘肺病的预防及管理工作,以保护劳动者健康。
Analysis on the characteristics of occupational pneumoconiosis in coal miners from 2021 to 2022
Objective To analyze the occupational health examination status and characteristics of occupational pneumoconiosis among coal miners. Methods Screening the data of 5588 cases of coal miners recorded in the Center's "Medical Examination Software Input System" and the "Occupational Disease and Health Hazard Monitoring Information System" from 2021 to 2022,analyzing the occupational health examination of different types of coal miners,the detection of occupational pneumoconiosis by phase,the distribution of occupational types and age of onset of occupational pneumoconiosis between coal miners and tunnelers of the same working age. Analysis was made on the occupational health examination status,abnormal status of occupational health examination,detection of occupational pneumoconiosis in different stages,distribution of occupational pneumoconiosis types and age of onset among different types of coal miners,as well as the proportion of occupational pneumoconiosis among coal miners and excavation workers with the same length of service. Results From 2021 to 2022,among the 5588 coal miners,large coal mines had the highest number of physical examinations,with a total of 4206 cases,followed by small and medium-sized coal mines,with a total of 1382 cases. A total of 5588 coal miners underwent physical examinations and 256 suspected cases of occupational pneumoconiosis were detected. After diagnosis by medical and health institutions diagnosed with occupational diseases,a total of 203 cases of occupational pneumoconiosis were ultimately diagnosed,including 95 cases in Phase Ⅰ,80 cases in Phase Ⅱ,and 28 cases in Phase Ⅲ;among 203 cases of occupational pneumoconiosis,excavation workers were the most common,with a total of 88 cases (43.35%);among 203 cases of occupational pneumoconiosis,the most common occurrence was over 10-20 years of service,with a total of 97 cases (47.78%);the tunneling workers have the highest proportion of occupational pneumoconiosis among the same length of service. Conclusion From 2021 to 2022,the risk of occupational pneumoconiosis among coal miners is relatively high. Employers need to strengthen the prevention and management of occupational pneumoconiosis to protect the health of workers.

Coal minersOccupational pneumoconiosisPhysical examinationPathogenic characteristics

熊宏鹏、周锦英

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365000 福建省三明市第一医院三钢分院体检科

365001 三明市疾病预防控制中心职业病监测科

煤矿工人 职业性尘肺病 体检 发病特征

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(20)