2015—2017年安徽省接触重点职业病危害因素劳动者职业健康检查结果
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摘要
目的通过对2015—2017年安徽省重点职业病监测结果进行分析,了解安徽省接触重点职业病危害因素劳动者健康状况,为制定针对性的职业病防治策略提供依据。方法通过安徽省职业健康检查机构与中国疾病预防控制系统中职业病与职业卫生信息监测系统收集相关数据,并对数据进行统计分析。结果 2015—2017年安徽省分别收集个案卡数92 360、116 630和168 936例,高血压人数分别为18 809例(23.43%)、15 630例(16.67%)和21 534例(16.76%),尘肺样改变人数分别为401例(0.73%)、454例(0.93%)和404例(0.69%),白细胞异常人数分别为340例(5.55%)、630例(5.24%)和478例(3.85%),中性粒细胞异常人数分别为104例(1.83%)、433例(3.60%)和293例(2.36%),血小板异常人数分别为63例(1.02%)、102例(0.85%)和94例(0.76%),血铅异常人数分别为90例(2.53%)、772例(7.15%)和599例(4.53%),双耳高频平均听阈检查异常人数分别为2 656例(8.20%)、4 276例(7.62%)和5 858例(7.23%)。结论 2015—2017年安徽省重点职业病监测个案卡收集数量不断增加,接受职业健康检查劳动者特征有所变化,接触重点职业病危害因素劳动者血压、肺部变化、血常规、尿常规及双耳高频平均听阈等指标需要持续关注。
[Objective] Through the analysis on surveillance results of key occupational diseases in Anhui Province from 2015-2017, to understand the health status of workers exposed to key occupational hazards in Anhui Province, provide basis for the formulation of targeted occupational disease prevention strategies.[Methods] The data were collected from the Anhui Province occupational health inspection agency and occupational diseases and occupational health information monitoring system in Chinese disease prevention and control system, and were statistically analyzed.[Results] From 2015-2017, the number of physical examination cases was respectively 92 360, 116 630 and 168 936 in Anhui Province.The number of hypertension was18 809 cases(23.43%), 15 630 cases(16.67%) and 21 534 cases(16.76%), respectively.The number of pneumoconiosis-like changes was 401 cases(0.73%), 454 cases(0.93%) and 404 cases(0.69%), respectively.The number of leukocyte abnormality was 340 cases(5.55%), 630 cases(5.24%) and 478 cases(3.85%), respectively.The number of neutrophil abnormality was 104 cases(1.83%), 433 cases(3.60%) and 293 cases(2.36%), respectively.The number of platelet abnormality was 63 cases(1.02%), 102 cases(0.85%) and 94 cases(0.76%), respectively.The number of abnormal blood lead was 90 cases(2.53%),772 cases(7.15%) and 599 cases(4.53%), respectively.The number of abnormal high frequency binaural average hearing threshold was 2 656 cases(8.20%), 4 276 cases(7.62%) and 5 858 cases(7.23%), respectively.[Conclusion] The number of key occupational disease monitoring cases is increasing in Anhui Province from 2015-2017.The characteristics of workers receiving occupational health examination are changed.It is necessary to continue to pay attention to the indexes such as blood pressure, lung changes, blood routine, urine routine and high frequency binaural average hearing threshold of workers exposed to key occupational hazard factors.
[Objective] Through the analysis on surveillance results of key occupational diseases in Anhui Province from 2015-2017, to understand the health status of workers exposed to key occupational hazards in Anhui Province, provide basis for the formulation of targeted occupational disease prevention strategies.[Methods] The data were collected from the Anhui Province occupational health inspection agency and occupational diseases and occupational health information monitoring system in Chinese disease prevention and control system, and were statistically analyzed.[Results] From 2015-2017, the number of physical examination cases was respectively 92 360, 116 630 and 168 936 in Anhui Province.The number of hypertension was18 809 cases(23.43%), 15 630 cases(16.67%) and 21 534 cases(16.76%), respectively.The number of pneumoconiosis-like changes was 401 cases(0.73%), 454 cases(0.93%) and 404 cases(0.69%), respectively.The number of leukocyte abnormality was 340 cases(5.55%), 630 cases(5.24%) and 478 cases(3.85%), respectively.The number of neutrophil abnormality was 104 cases(1.83%), 433 cases(3.60%) and 293 cases(2.36%), respectively.The number of platelet abnormality was 63 cases(1.02%), 102 cases(0.85%) and 94 cases(0.76%), respectively.The number of abnormal blood lead was 90 cases(2.53%),772 cases(7.15%) and 599 cases(4.53%), respectively.The number of abnormal high frequency binaural average hearing threshold was 2 656 cases(8.20%), 4 276 cases(7.62%) and 5 858 cases(7.23%), respectively.[Conclusion] The number of key occupational disease monitoring cases is increasing in Anhui Province from 2015-2017.The characteristics of workers receiving occupational health examination are changed.It is necessary to continue to pay attention to the indexes such as blood pressure, lung changes, blood routine, urine routine and high frequency binaural average hearing threshold of workers exposed to key occupational hazard factors.
引文
[1]中华人民共和国全国人民代表大会常务委员会.中华人民共和国职业病防治法[S].北京:法律出版社,2012:5-8.
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[4]刘静,曾强,李梅莉,等.天津市重点职业病监测情况分析与控制对策[J].公共卫生与预防医学,2017,28(6):20-23.
[5]黄维兰,张凯.2016年重庆市江津区重点职业病职业健康风险评估[J].职业与健康,2017,33(18):2465-2468.
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[7]江兰,肖吕武,刘移民.2014—2016年广州市职业健康监护企业情况及职业禁忌证与疑似职业病分析[J].中国工业医学杂志,2018,31(3):208-211.
[8]高金霞,李盛,韩晓琴,等.2016年兰州市职业病危害因素申报与职业健康监护[J].疾病预防控制通报,2018,33(4):80-83.
[9]顾芸,杨文海,谢峰.2015年宁夏接触重点职业危害因素劳动者健康检查结果分析[J].宁夏医科大学学报,2018,40(4):465-467.
[10]李风琴,阎智伟,邓云珺.2016年太原市重点职业病监测与职业健康风险分析[J].预防医学论坛,2018,24(6):423-426.
[11]李镒冲.我国高血压患病、知晓、治疗和控制的多水平空间分析[D].北京:中国疾病预防控制中心,2016:55.
[12]高飞,周梦瑶,张剑锋.黑龙江省2015年重点职业病监测分析[J].中国公共卫生管理,2017,33(2):227-229.
[13]李增敏,何洁,赵春香,等.2016年河北省矽尘作业工人职业健康检查[J].职业与健康,2018,34(3):302-304,308.
[14]潘健,李泽洪,燕凯.2017年九江市重点职业病监测与职业健康风险评估[J].应用预防医学,2018,24(4):309-310.
[15]查晚生,陈葆春,胡琼,等.安徽省2012—2016年职业病发病情况分析[J].安徽预防医学杂志,2018,24(1):63-66.
[2]国家卫生计生委疾病预防控制局.2015—2016年全国职业病报告情况[J].职业卫生与应急救援2018,36(1):封三。
[3]王晨,梁政,高志军,等.北京市西城区2016年重点职业病监测现状分析[J].职业卫生与应急救援,2018,36(1):47-48,65.
[4]刘静,曾强,李梅莉,等.天津市重点职业病监测情况分析与控制对策[J].公共卫生与预防医学,2017,28(6):20-23.
[5]黄维兰,张凯.2016年重庆市江津区重点职业病职业健康风险评估[J].职业与健康,2017,33(18):2465-2468.
[6]李环,袁德峥,张晓娇,等.某市重点职业病监测现状分析[J].中国卫生工程学,2017,16(3):294-297.
[7]江兰,肖吕武,刘移民.2014—2016年广州市职业健康监护企业情况及职业禁忌证与疑似职业病分析[J].中国工业医学杂志,2018,31(3):208-211.
[8]高金霞,李盛,韩晓琴,等.2016年兰州市职业病危害因素申报与职业健康监护[J].疾病预防控制通报,2018,33(4):80-83.
[9]顾芸,杨文海,谢峰.2015年宁夏接触重点职业危害因素劳动者健康检查结果分析[J].宁夏医科大学学报,2018,40(4):465-467.
[10]李风琴,阎智伟,邓云珺.2016年太原市重点职业病监测与职业健康风险分析[J].预防医学论坛,2018,24(6):423-426.
[11]李镒冲.我国高血压患病、知晓、治疗和控制的多水平空间分析[D].北京:中国疾病预防控制中心,2016:55.
[12]高飞,周梦瑶,张剑锋.黑龙江省2015年重点职业病监测分析[J].中国公共卫生管理,2017,33(2):227-229.
[13]李增敏,何洁,赵春香,等.2016年河北省矽尘作业工人职业健康检查[J].职业与健康,2018,34(3):302-304,308.
[14]潘健,李泽洪,燕凯.2017年九江市重点职业病监测与职业健康风险评估[J].应用预防医学,2018,24(4):309-310.
[15]查晚生,陈葆春,胡琼,等.安徽省2012—2016年职业病发病情况分析[J].安徽预防医学杂志,2018,24(1):63-66.