应用新尘肺病诊断标准诊断煤工尘肺的研究

Study on diagnosis of coal-worker peneumoconiosis by new standard for peneumoconiosis diagnosis

目的正确应用新尘肺病诊断标准诊断煤工动态系列胸片中普通仟伏胸片的影像诊断结果。方法选择153例煤工作业人员分别拍摄高仟伏胸片、普通仟伏胸片,对照《尘肺病诊断标准片GB5906-2000》和《尘肺诊断标准GBZ70-2002》,实行盲样读片、集体诊断。结果不同仟伏的胸片质量分级及光密度均有高度统计学差异(P<0.005),但煤工尘肺影像诊断则无统计学差异(P>0.05)。结论煤工动态系列胸片中的普通仟伏胸片的影像诊断可参照《尘肺病诊断标准片GB5906-2000》和《尘肺诊断标准GBZ70-2002》进行。

Objective To analyse the results of common KV chest photograph of the coal-worker peneumoconiosis correctly by new national standard for peneumocouiosis diagnosis. Methods Both high KV chest photograph and common KV chest photograph were taken for 153 coal-workers. Photographs were analyzed by mass diagnosis and X-ray blind method reading in accordance with national diagnosis standard of peneumoconiosis GB5906-2000 and GBZ70-2002. Results It showed that there was significant difference between the quality grade and light density in each KV chest photograph （P 〈 0. 005）. However, there was no difference on diagnostic aspect （P 〉 0. 05 ）. Conclusion Common KV chest photograph could be used for the diagnosis of coal-worker peneumoconiosis according to the national diagnosis standard of peneumoconiosis GB5906-2000 and GBZ70-2002.