首页|GBZ 83-2013《职业性砷中毒的诊断》修订意见的Delphi法调查研究

GBZ 83-2013《职业性砷中毒的诊断》修订意见的Delphi法调查研究

Delphi method investigation and research on the revision of Diagnosis of Occupational Arsenic Poisoning(GBZ 83-2013)

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目的 探讨GBZ 83-2013《职业性砷中毒的诊断》专家修订意见.方法 于2023年3月,采用改进后的Delphi专家咨询法,第一轮咨询先行对20名专家进行预调查,根据专家意见完善问卷,形成第二轮专家咨询问卷,对50名从事职业病诊断及相关工作的专家进行问卷调查咨询,收集专家反馈意见并进行汇总分析.结果 原标准主要技术内容的科学性和先进性均数为3.33,原标准的主要技术内容合理、可操作性均数为3.25,具体内涵单项指标的重要性赋值为4.20~4.45,变异系数均<0.25,专家意见比较集中.专家反馈原标准存在诊断分度没有延续性、生物标志物需结合尿砷和发砷、客观诊断指标较少、接触反应应从正文中删除、标准使用一致性偏低等问题,亟需修改.结论 应结合专家反馈问题和建议,对GBZ 83-2013《职业性砷中毒的诊断》进行修订,以满足目前职业性砷中毒诊断的实际需求.
Objective To explore the expert opinions on the revision of the Diagnosis of Occupational Arsenic Poisoning(GBZ 83-2013).Methods In March 2023,the improved Delphi expert consultation method was adopted,in the first round of consultation,a pre-survey was conducted on 20 experts,and the questionnaire was improved according to the experts'opinions.Then,a second round of expert consultation questionnaire was formed to conduct a questionnaire survey and consultation of 50 experts engaged in occupational disease diagnosis and related work.The feedback of experts was collected and analyzed.Results The average score for the scientificity and progressiveness of the main technical content of the original standard was 3.33,and the average score for the rationality and operability of the main technical content of the original standard was 3.25.The importance of individual indicators with specific connotations were ranged from 4.20 to 4.45,with coefficients of variation<0.25,and the experts'opinions were relatively concentrated.The experts have provided feedback indicating that the original standard had issues such as lack of continuity in diagnostic gradation,the need to integrate biomarkers with urinary and hair arsenic levels,a scarcity of objective diagnostic indicators,the removal of exposure response from the main text,and a low level of consistency in standard usage.These issues need to be revised urgently.Conclusion The Diagnosis of Occupational Arsenic Poisoning(GBZ 83-2013)should be revised based on experts'feedback and suggestions to meet the current real demand for occupational arsenic poisoning diagnosis.

Arsenic poisoningOccupationalInvestigation and researchDelphi method

袁娟、赖燕、黄蕾、黄春桃、唐芳坤、杨翊梅

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湖南省职业病防治院中毒医学科,长沙 410007

砷中毒 职业性 调查研究 Delphi法

湖南省卫生健康委科研项目

20221207476

2024

中华劳动卫生职业病杂志
中华医学会

中华劳动卫生职业病杂志

CSTPCD北大核心
影响因子:0.787
ISSN:1001-9391
年,卷(期):2024.42(9)