2011—2013年鹤壁市煤粉尘接触工人职业健康体检结果分析

Data analysis of occupational health examination of coal mine workers in Hebi City

目的统计分析煤粉尘作业工人的身体健康状况及分布特点,为其职业病的防治提供参考数据。方法对鹤壁市2011—2013年职业健康体检中的4 938名煤粉尘工人的体检结果进行收集、统计和分析。结果 2011—2013年煤粉尘工作从业人员参检率为96.65%,各检测项目异常1198例,异常检出率为24.26%,其中疑似尘肺占8.87%,职业禁忌证占5.70%,心电图异常占3.93%,血压异常占3.79%,实验室结果异常占1.98%;体检异常检出率呈逐年下降趋势;疑似尘肺检出率随着工龄及年龄的增长而增长;掘进工的疑似尘肺检出率最高,为10.48%;不同工种的疑似尘肺检出率差异有统计学意义(χ2=8.89,P<0.05)。结论我们应重视煤粉尘工人的职业健康,疑似尘肺病患者应立即停止接触煤粉尘,积极进行治疗。

Objective To understand the health condition of workers in coal mine industries in Hebi city. Methods The data of occupational health examination of 4 938 workers during 2011-2013 were collected and analyzed. Results Totally 96.65%workers were received occupational health examination during 2011-2013. Among them,a total of 1 198 person-time were found at least one abnormal examined-item. 8.87% workers were diagnosed as the suspected cases of pneumoconiosis,5.70% workers had contraindications to work in the coal mine industry, 3.93% workers had ECG abnormalities and 3.79% workers had abnormal blood pressure. The workers who had long time of employment and engaged in tunneling had a high ratio of suspected pneumoconiosis cases. The detective rates of suspected pneumoconiosis at different posts had a statistically difference（χ2= 8.89, P 〈 0.05）. Conclusion We should pay more attention to the occupational hazards in coal mine industry. The suspected pneumoconiosis should stop their exposure to coal dust and get good medical care to alleviate progress of disease.