1997—2008年河南省尘肺死亡病例统计分析

Statistical analysis on dead cases of pneumoconiosis from 1997 to 2008 in Henan province

目的了解河南省尘肺病死亡状况,提出有效防治措施。方法对河南省1997—2008年尘肺病死亡报告卡进行整理,用Excel建立数据库,SPSS 13.0进行统计分析。结果 1997—2008年河南省共报告尘肺死亡病例198例,发病年龄(53.83±9.76)岁,接尘工龄(24.03±9.52)年,死亡年龄(66.55±9.91)岁。主要死因为尘肺、慢性肺心病、其他、脑血管病;煤炭、冶金行业死亡病例居前2位,占78.79%;死亡病例以煤工尘肺、矽肺为主,占95.46%;纯采煤工、煤矿混合工、主采煤工死亡居前3位,占37.38%;尘肺合并结核患者病情重于单纯尘肺患者;初诊期别越低病程越长。结论应加强煤炭系统尘肺病的防治,及时诊断对延长尘肺患者寿命具有积极作用。

Objective To analyze the death status of pneumoconiosis in Henan province and to provide effective measurement for prevention and treatment of pneumoconiosis.Methods The report cards of dead cases of pneumoconiosis in Henan were collected,and constructed by Excel data base.The data on the dead cases were analyzed by SPSS 13.0.Results Totally 198 dead cases of pneumoconiosis were reported from 1997 to 2008.The average age of occurrence pneumoconiosis was（53.83±9.76）years,the average duration of dust exposure was（24.03±9.52）years,and the average death age was（66.55±9.91）years.The main death causes included pneumoconiosis,chronic pulmonary heart disease and cerebral vascular disease,and so on.78.79% dead cases were from the coal and metallurgical industry,and the top 2 types of the cases were coal miners＇ pneumoconiosis and silicosis,which accounted for 95.46%.The top 3 dead cases of type of work were pure coal worker,coal mixture and main coal worker.The patients of pneumoconiosis combined with tuberculosis was more severe than those of the simple pneumoconiosis.The lower in the newly diagnosed stages,the longer in the disease course of pneumoconiosis.Conclusion It should be streng-then the prevention and treatment of pneumoconiosis in coal system and paid attention to the worker＇s health of mining workplaces,specially the treatment for those of pneumoconiosis combined with tuberculosis.