深圳市劳务工肝病流行病学调查及“职业病爱肝家园”项目应用研究

Epidemiological survey of liver disease among labor workers in Shenzhen and research on "occupational disease loving liver home" project

目的调查深圳市劳务工肝病流行病学特点,探讨"深圳——职业病爱肝家园"肝病防治工作的应用价值。方法随机选取2015年8月~2016年12月深圳市职业病防治院职业病科门诊和健康监护科门诊2340名职业健康体检人群作为研究对象,对我市劳务工人员肝病流行病学特征展开调查并予以免费咨询治疗服务,比较劳务工免费咨询服务前后健康知识掌握率。结果 2340名职业健康体检人群中急/慢性乙肝6例、乙肝病毒携带者23例、乙肝感染已康复或已恢复224例、亚临床型或非典型肝炎2例、乙肝感染恢复期2例、既往感染5例、未感染过乙肝病毒2078例,肝病发病率11.2%;男性发病率6.0%、女性发病率5.2%,男性发病率略高于女性但差异无统计学意义(P>0.05)。2340名劳务工免费咨询服务前后健康知识掌握率差异有统计学意义(P<0.05)。结论 "深圳——职业病爱肝家园"肝病防治工作取得了较为理想的成效但仍有改进空间,应继续开展科学预防及治疗知识讲座以全面提高职业健康体检人群肝病防治水平。

Objective To investigate the epidemiological characteristics of liver disease among workers in Shenzhen,and to explore the application value of"Shenzhen occupational disease loving liver home".Methods Two thousand three hundred and forty occupational health check-ups from August 2015 to December 2016 in Shenzhen Occupational Disease Prevention and Treatment Center were selected as the research objects.The epidemiological characteristics of liver disease of labor workers in our city were investigated and a free consultation and treatment service was given,and the health knowledge mastery rate was compared before and after the service workers'free consultation service.Results Among the 2340 occupational health check-ups,there were 6 cases of acute/chronic hepatitis B virus(HBV),23 cases of hepatitis B virus carriers,224 cases of hepatitis B infection recovery,2 cases of subclinical or atypical hepatitis,2 cases of hepatitis B infection recovery,5 cases of previous infection,2078 cases of uninfected HBV.The incidence of liver disease was 11.2%,the incidence of male was 6%,the incidence of female was 5.2%,the incidence of male was slightly higher than that of women,but the difference was not statistically significant(P>0.05).There was a significant difference in the rate of health knowledge before and after 2340 workers'free consultation service(P<0.05).Conclusion"Shenzhen-occupational disease loving liver home"liver disease prevention and control work achieved more ideal results,but still have room for improvement,we should continue to carry out scientific prevention and treatment knowledge lectures in order to improve the level of liver disease prevention and treatment in the occupational health check-up population.