某水泥厂2011-2014年职业健康检查结果分析

Analysis of occupational health examination of 2011-2014 in a cement factory

目的了解某水泥厂近年来接尘、接噪作业工人的职业健康状况,以及粉尘、噪声等职业病危害因素对工人健康的影响,为管理部门制订水泥生产行业的健康监护策略提供医学依据。方法对2 0 11-2 0 14年某水泥厂接尘、接噪作业工人在岗期间职业健康检查结果进行分析。结果总计4 87人接尘、接噪作业工人中有2 81人职业健康检查结果异常,异常检出率为57.70%。不同接触工龄的作业工人,其高血压、听力异常和尿糖异常的检出率不同,差异有统计学意义(P<0.05),而且高血压和尿糖异常的检出率有随着接触工龄增长而增高的趋势,差异有统计学意义(P<0.01)。接噪作业工人的听力异常检出率明显高于非接噪作业工人,差异有统计学意义(P<0.01)。结论该水泥厂接尘、接噪作业工人面临的职业健康问题比较严峻,水泥生产企业应加强粉尘和噪声的个体防护和职业健康监护,进一步做好职业病三级预防工作。

Objective To learn the occupational health status of workers exposed to dust and noise in a cement factory in recent years, and the influence of occupational hazard such as dust, noise and so on, to provide medical basis for the management of the health monitoring strategy for cement production industry. Methods In 2011-2014 in a cement plant dust, noise exposure workers during the post occupation health examination results were analyzed. Results A total of 487 dust exposed workers, 281 of the workers in the occupational health examination results were abnormal, the abnormal detection rate was57.70%. Different length of exposure of workers, with the exception of the hypertension, hearing and urine abnormal detection rate is different, and the difference was statistically significant（P〈0.05） and high blood pressure and urine abnormal detection rate increased with the duration of exposure to growth trend（P〈0.01）. The detection rate of abnormal hearing was significantly higher than that of non exposed workers,the difference was statistically significant（P 0.01）. Conclusion The occupational health of workers exposed to dust and noise exposed in a cement factory is more severe, and the cement production enterprises should strengthen the individual protection and occupational health surveillance, and work well in the prevention of occupational diseases in three levels.