2012—2016年盘锦市某国有大型化工企业职业卫生现状

Occupational health status of a large state-owned chemical enterprise in Panjin City from 2012-2016

目的了解盘锦市某国有大型化工企业职业健康保护工作开展情况,确定该企业职业卫生管理工作的重点,为企业管理部门制定职业卫生管理决策提供依据。方法对该企业2012—2016年作业场所中职业病危害因素监测情况和健康监护结果进行描述分析。结果 2012—2016年盘锦市该企业职业病危害因素监测中有害因素检测点共3 860个,合格点3 616个,平均合格率93.68%。其中2013年合格率最高97.11%,其他年份合格率均在92.00%以上。化学毒物合格率,为99.96%,其次是物理因素合格率为83.44%,粉尘合格率最低(78.54%);2012—2016年该企业共体检13 297人次,异常检出人数为663人次,平均检出率为4.99%。检出异常项目主要是听力异常,平均占3.41%;其他异常项目依次为血压(0.80%)、血常规(0.77%)、胸部X线(0.01%)和肺功能(0.01%)。职业病3人,均为职业性噪声聋。职业禁忌证5人,其中2人为噪声作业人员,3人为高温作业人员。结论该企业的职业病危害因素防治和职业健康监护工作做得不理想,噪声是防治的重点,应加强噪声作业人员的个人防护及健康监护工作。

[Objective]To learn the implementation status of occupational health protection in a large state-owned chemical enterprise in Panjin City,determine the focus of occupational health management in this enterprise,and provide scientific basis for enterprise management to make decision on occupational health management.[Methods]Descriptive analysis was made on the occupational hazards monitoring results and health surveillance results of workers with exposure in the enterprise from 2012-2016.[Results]In the occupational hazards monitoring,totally 3 860 detection points with occupational hazards were investigated in the enterprise from 2012-2016,and 3 616 were qualified with the qualified rate of 93.68%. The qualified rate in 2013 was the highest（97.11%）,and the rates in other years were all higher than 92.00%,which were stable. The qualified rate of the chemical poisons was the highest（99.96%）,followed by physical factors（83.44%）,and the qualified rate of dust was the lowest（78.54%）. The physical examination was performed in totally 13 297 person-time,and the abnormal results were found in663 person-time with the average detection rate of 4.99%. The most common abnormal index was abnormal hearing,which the detection rate was 3.41%,and the other abnormal indexes included blood pressure（0.80%）,blood routine test（0.77%）,chest X-ray（0.01%） and pulmonary function（0.01%）. There were 3 cases of occupational disease,and all of them were patient with occupational noise deafness. 5 cases of occupational contraindication were found,including 3 workers exposed to noise and 3 workers exposed to high temperature.[Conclusion]The occupational hazard prevention and occupational health surveillance are not satisfactory in the enterprise. Noise is the focus of prevention and control,and it is necessary to strengthen the personal protection and health surveillance among workers exposed to noise.