安阳市苯作业人员健康现状调查

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英文篇名：Status investigation on workers' exposed to benzene in Anyang city 作者：常艾民 英文作者：CHANG Ai-min;Department of Occupational Disease Prevention and Treatment,Anyang Center for Disease Control and Prevention; 关键词：涉苯企业 ; 苯作业人员 ; 调查 英文关键词：Enterprises involved in benzene profession;;Workers' exposed to benzene;;Investigation 中文刊名：ZGWX 英文刊名：Chinese Journal of Public Health Engineering 机构：安阳市疾病预防控制中心职业病防治所; 出版日期：2019-02-20 出版单位：中国卫生工程学 年：2019 期：v.18 语种：中文; 页：ZGWX201901007 页数：4 CN：01 ISSN：22-1333/R 分类号：22-25

摘要

目的了解安阳市苯作业人员健康现状,分析健康相关指标与行业、接触水平、接触工龄等影响因素的关系。方法对安阳市44家涉苯企业中苯作业人员3 251名进行职业性健康检查,收集工作场所苯浓度检测结果,选取以上涉苯企业中不接触苯的行政、销售、保卫、后勤等工作人员2 038名作为对照组进行比较,并进行统计分析。结果 44家涉苯企业仅26家进行了工作场所苯浓度检测,机械设备制造、印刷、制鞋业苯浓度合格率较低。接触组白细胞和(或)血小板、中性粒细胞减少的检出率为4.8%(157/3 251),显著高于对照组(χ2=37. 530,P <0.001)。白细胞和(或)血小板、中性粒细胞减少的检出率随着苯接触水平的增高、接触工龄的增长而增高,经常使用个人防护用品的苯作业人员检出率较低。结论应加强接苯作业工人的职业健康监护,采取安装通风排毒设施、改革工艺,加强自动化等措施,改善工作条件,减少接害工龄,加强个人防护,预防职业病的发生。
        Objective To understand workers' exposed to benzene health status in Anyang city,and to analyze the relationship between health-related index and influence factors such as industry categories,exposure levels,length of working age and so on.Methods 3 251 people of 44 enterprises involved in benzene were checked with occupational health-related.The detection results of benzene concentration in the workplace were collected.2 038 staffs not exposed to benzene of 44 enterprises involved in benzene as control group,including administrative,sales,security,logistics staff,etc.Results Only 26 in 44 enterprises involved in benzene were detected. The qualified rates of benzene concentrations in machinery and equipment manufacturing profession,printing profession and shoemaking profession were low.Among the 3 251 samples in the exposed group,157/3 251( 4.8%) decreased white blood cell counts,and( or) platelets,neutrophil counts were found out.Compared with the control group,there were significant differences( χ2= 37.530,P<0.001).The occurrence rate of increased with the increased of benzene exposure levels and the growth of working age.The detection rate was low for workers exposed to benzene who often use personal protective equipment.Conclusion It should strengthen the health protection and health care for workers' exposed to benzene,take measures to install ventilation detoxification facilities,reform process,increase automation,improve work conditions,reduce the benzene-exposed time,strengthen personal protection and prevent the occupational diseases.

引文

[1]吴琳.混苯对作业工人健康影响的调查[J].中国职业医学,2011,28(4):54-55.
    [2]金泰廙,孙贵范.职业卫生与职业医学[M].北京:人民卫生出版社,2008:135-136.
    [3]徐宏伟,侯淑媛.苯及苯系物接触人员白细胞减少影响因素分析[J].职业卫生与应急救援,2007,25(3):129-131.
    [4]于青.苯及苯系物挥发性气体对接触人员健康状况分析[J].内蒙古医学院学报,2011,33(1):57-58.
    [5]赵向伟,李志恒.接触苯及苯系化合物作业人员血常规检查结果分析[J].中国现代药物应用,2015,9(17):43-44.
    [6]刘洋,张巧耘,陈献文,等.苯作业工人外周血白细胞下降及其影响因素[J].环境与职业医学,2014,31(12):927-928.
    [7]王轶杰.接触苯系物作业人员血常规检查结果分析[J].职业与健康,2014,30(21):封二-封三.
    [8]周国伟,何丽华,胡在方,等. 2014年北京市顺义区接触苯系物作业人员健康状况调查[J].职业与健康,2016,32(9):1178-1180.