职业健康检查中慢性阻塞性肺病的判定

The determination of COPD on occupational medical examination

目的早期发现判定多种职业病危害因素的职业禁忌证"慢性阻塞性肺病",为进行目标干预提供科学依据。方法对2016年许昌市接触矽尘的531名一线工人的职业健康检查结果进行分析。结果职业健康检查结果,作业工人后前位X射线高仟伏检查结果无粉尘样改变,其他异常5人;肺功能检查结果 FVC%异常率15.6%,FEV1.0%异常率5.4%,FEV1.0/FVC%异常率9.6%。结论职业健康检查的结果显示,作业工人的一秒率异常率为9.6%,与之相应的X胸片结果无粉尘样改变,在职业健康检查中应注意COPD的鉴别诊断,准确判定COPD。对检查中发现的COPD患者及时进行处理。建议企业应进行一定的目标干预,包括改善作业环境条件、采用有效的防护设施和个人防护用品。

objective To early detection and determination of the occupational con-Traindication for COPD.Methods The results of the occupational health examination of 531 first-line workers exposed to the silicon dust in XuChang city in 2016 was analyzed.Results No apparent abnormality showed in the X-ray chest,the results of the pulmonary function were the FVC % exception rate 15.6 %,the FEV1.0 % exception rate 5.4 %,the FEV1.0/FVC % exception rate 9.6 %.conclusion The FEV1.0/FVC % exception rate was 9.6 %.The differential diagnosis of COPD should be noted in occupational health examination,and COPD is determined accurately.