厦门市2006-2011年与1950-1990年尘肺发病比较分析

Comparative analysis of pneumoconiosis in Xiamen city during 2006-2011 and 1950-1990

目的比较厦门市2006-2011年与1950-1990年尘肺发病情况,分析其出现的新变化。方法收集1950-1990年及2006-2011年厦门市尘肺病例资料。结果 1950-1990年和2006-2011年全市共有尘肺病例332例。其中1950-1990年共有307例,占92.5%;2006-2011年共有25例,占7.5%。发病工种主要是切石、风钻、破碎、电焊。与1950-1990年相比,尘肺种类从以矽肺为主变为以矽肺和电焊工尘肺为主,发病年龄提前、平均发病工龄缩短,女性尘肺病例明显下降(均P<0.05),尘肺期别构成及合并结核无明显变化(均P>0.05)。结论矽肺、电焊工尘肺是厦门市目前尘肺的主要种类,应警惕电焊工尘肺、建筑工地风钻工矽肺逐渐增多的趋势。

Objective To compare the morbidity of pneumoconiosis in Xiamen city during 2006 -2011 and 1950 - 1990, analyze the new change of pneumoconiosis. Methods Pneumoconiosis cases were collected during 1950 - 1990 and 2006 - 2011 in Xiamen city. Results A total of 332 cases of pneumoconiosis were during 1950 - 1990 （307 cases,occupied for 92. 5% ） and 2006 - 2011 （25 cases, occupied for 7.5% ）. The incidence of work types included cut, drill, crushing and welding. Compared with 1950 - 1990, pneumoconiosis species from silicosis mainly became dominated by silicosis and welder pneumoconiosis during 2006 -2011. Among the cases, the age for the onset of pneumoconiosis was getting younger , the average length of service was shortened, the female cases of pneumoconiosis decreased significantly（ average P 〈 0. 05）. Pneumoconiosis grades and complicated with tuberculosis had no obvious change（ average P 〉 0. 05 ）. Conclusion Silicosis and welder pneumoconiosis are the main types of pneumoconiosis in Xiamen city at present. It＇ s suggested to warn of gradually increasing trend of welder pneumoconiosis and silicosis from drillers.