860例凿岩工人尘肺结核患病情况分析
|
摘要
目的分析凿岩工人尘肺结核患病情况,为尘肺结核的预防提供科学依据。方法回顾性分析2012—2016年凉山彝族自治州疾病预防控制中心860例凿岩工人体检档案资料,筛出体检诊断为尘肺、肺结核、尘肺结核的病例,并对影像资料进行重新读片诊断。结果共筛查出异常影像病历资料284例,其中尘肺132例,肺结核80例,尘肺结核67例,其他异常5例,尘肺结核的合并率为33.67%;随着年龄/接尘工龄的增长,尘肺结核合并率逐渐升高,不同年龄/接尘工龄组间差异有统计学意义(P <0.05);尘肺病例主要集中在Ⅰ期,随着尘肺病的进展,尘肺结核合并率逐渐升高,且不同期别间差异有统计学意义(P <0.05)。结论尘肺结核对凿岩工人的危害较为严重,尘肺患者是肺结核的易感人群,企业应该继续改善作业环境,并按时组织工人职业健康体检,对疾病早发现、早治疗,维护工人的健康权益。
Objective To analyze the prevalence of tuberculosis in drilling workers suffering from pneumoconiosis and to provide a scientific basis for the prevention. Methods The physical examination records of 860 drilling workers collected by the Liangshan Yi Autonomous Prefecture Center for Disease Control and Prevention from 2012 to 2016 were analyzed retrospectively. Then, those cases suffering from pneumoconiosis, tuberculosis, pneumoconiosis complicated with tuberculosis were screened and re-diagnosed by film reading their imaging.Results A total of 284 cases of abnormal imaging were found, including 132 cases of pneumoconiosis, 80 cases of tuberculosis, 67 cases of pneumoconiosis complicated with tuberculosis, and 5 cases with other abnormalities. The prevalence of pneumoconiosis complicated with tuberculosis was 33.67%; and gradually increased along with worker's age and their working age, and there were significant differences between different worker's age and working age groups(P <0.05). Pneumoconiosis cases were predominantly observed at I stage of the disease. With the developing of pneumoconiosis, the incidence of pneumoconiosis complicated with tuberculosis also increased, and the difference was statistically significant between different stage groups(P <0.05). Conclusions The pneumoconiosis complicated with tuberculosis seriously affects the health of drilling workers. The patients with pneumoconiosis are susceptible to tuberculosis. Enterprises should continue to improve the working environment, organize occupational health examinations of workers on time, follow the principle of early detection and early treatment against this diseases, and safeguard workers' health rights.
Objective To analyze the prevalence of tuberculosis in drilling workers suffering from pneumoconiosis and to provide a scientific basis for the prevention. Methods The physical examination records of 860 drilling workers collected by the Liangshan Yi Autonomous Prefecture Center for Disease Control and Prevention from 2012 to 2016 were analyzed retrospectively. Then, those cases suffering from pneumoconiosis, tuberculosis, pneumoconiosis complicated with tuberculosis were screened and re-diagnosed by film reading their imaging.Results A total of 284 cases of abnormal imaging were found, including 132 cases of pneumoconiosis, 80 cases of tuberculosis, 67 cases of pneumoconiosis complicated with tuberculosis, and 5 cases with other abnormalities. The prevalence of pneumoconiosis complicated with tuberculosis was 33.67%; and gradually increased along with worker's age and their working age, and there were significant differences between different worker's age and working age groups(P <0.05). Pneumoconiosis cases were predominantly observed at I stage of the disease. With the developing of pneumoconiosis, the incidence of pneumoconiosis complicated with tuberculosis also increased, and the difference was statistically significant between different stage groups(P <0.05). Conclusions The pneumoconiosis complicated with tuberculosis seriously affects the health of drilling workers. The patients with pneumoconiosis are susceptible to tuberculosis. Enterprises should continue to improve the working environment, organize occupational health examinations of workers on time, follow the principle of early detection and early treatment against this diseases, and safeguard workers' health rights.
引文
[1]Snider DE Jr.The relationship between tuberculosis and silicosis[J].Am Rev Respir Dis,1978,118(3):455-460.
[2]蔡志春.对GBZ70-2015《职业性尘肺病的诊断》的理解[J].中华劳动卫生职业病杂志,2016,34(11):866-887.
[3]中华人民共和国国家卫生和计划生育委员会.肺结核诊断[J].传染病信息,2017,30(6):Ⅰ-Ⅻ.
[4]王峥,张建芳,钱青俊.我国职业性尘肺病诊断标准的演变和发展[J].中国工业医学杂志,2017,30(1):69-71.
[5]赵庚.我国尘肺病的社会经济影响分析研究[D].北京:中国地质大学(北京),2011.
[6]王黎霞,成诗明,陈明亭,等.2010年全国第五次结核病流行病学抽样调查报告[J].中国防痨杂志,2012,34(8):485-508.
[7]Han L,Gao Q,Yang J.Survival analysis of coal workers’pneumoconiosis(CWP)patients in a state-owned mine in the East of China from 1963 to 2014[J].Int J Environ Res Public Health,2017,14(5):pii:e489.
[8]王一丹,唐浩,陈卉,等.尘肺病合并肺结核发生情况的meta分析[J].职业与健康,2015,31(1):16-19.
[9]石义琼,漆骏,李刚.某大型钢铁公司359名尘肺病人死亡年龄分析[J].实用预防医学,2014,21(2):208-210.
[10]高劲松,李凤,陈垒.煤工尘肺合并肺结核1130例分析[J].中国工业医学杂志,2014,27(5):381-382.
[11]伍忠辉.2005-2011年邵阳市新发尘肺病例特征及期别差异分析[D].湖南:中南大学,2013.
[2]蔡志春.对GBZ70-2015《职业性尘肺病的诊断》的理解[J].中华劳动卫生职业病杂志,2016,34(11):866-887.
[3]中华人民共和国国家卫生和计划生育委员会.肺结核诊断[J].传染病信息,2017,30(6):Ⅰ-Ⅻ.
[4]王峥,张建芳,钱青俊.我国职业性尘肺病诊断标准的演变和发展[J].中国工业医学杂志,2017,30(1):69-71.
[5]赵庚.我国尘肺病的社会经济影响分析研究[D].北京:中国地质大学(北京),2011.
[6]王黎霞,成诗明,陈明亭,等.2010年全国第五次结核病流行病学抽样调查报告[J].中国防痨杂志,2012,34(8):485-508.
[7]Han L,Gao Q,Yang J.Survival analysis of coal workers’pneumoconiosis(CWP)patients in a state-owned mine in the East of China from 1963 to 2014[J].Int J Environ Res Public Health,2017,14(5):pii:e489.
[8]王一丹,唐浩,陈卉,等.尘肺病合并肺结核发生情况的meta分析[J].职业与健康,2015,31(1):16-19.
[9]石义琼,漆骏,李刚.某大型钢铁公司359名尘肺病人死亡年龄分析[J].实用预防医学,2014,21(2):208-210.
[10]高劲松,李凤,陈垒.煤工尘肺合并肺结核1130例分析[J].中国工业医学杂志,2014,27(5):381-382.
[11]伍忠辉.2005-2011年邵阳市新发尘肺病例特征及期别差异分析[D].湖南:中南大学,2013.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |