2015-2017年杭州市职业健康检查复查结果分析

Analysis of the results of occupational health re-examination from 2015 to 2017 in Hangzhou City

目的了解杭州市职业健康检查复查人员职业病危害因素目标疾病情况,发现职业健康监护的重点职业病危害因素,为目标干预和保护劳动者健康提供依据。方法采用回顾性研究调查方法,选择2015-2017年杭州市职业病防治院职业健康检查复查人员作为研究对象,对职业健康检查复查结果进行分析。结果2015-2017年职业健康检查复查人员共3948例。复查人员接触的职业病危害因素以噪声为主,工龄多为<5a。复查发现疑似职业病86例,占总复查人数的2.2%;疑似尘肺病罹患率最高(18.2%);疑似苯中毒罹患率呈逐渐增高趋势,且以30~39岁年龄组和<5a工龄组的劳动者高发。复查检出职业禁忌证982例,占复查总人数的24.9%;其中以噪声作业劳动者的职业禁忌罹患率最高(39.7%)。结论杭州市用人单位应重点防控的职业病危害因素是噪声、苯、粉尘;对接触上述职业病危害因素的劳动者应规范开展职业健康监护,以利于早期发现健康损害,及时采取有效的防护措施。

Objective To review the targeted diseases from occupational health re-examination in Hangzhou,and to discover the key occupational hazard factors in occupational health surveillance,so as to provide evidence for the targeted intervention and protection for workers’health.Methods Retrospective study was used to analyze the results of occupational health examination in Hangzhou Hospital for the Prevention and Treatment of Occupational Diseases from 2015 to 2017.Results From 2015 to 2017,3948 workers were re-examined for health.The most frequency occupational hazard factor was noise,and the time of exposure was mostly less than 5 years.86 workers with suspected occupational diseases were found from the re-examination,accounting for 2.2% of the total number;the highest prevalence of suspected cases was pneumoconiosis(18.2%);the prevalence of suspected benzene poisoning showed a gradual increase trend,and the age of the cases was mainly 30~39 years old and their working years were less than 5 years.982 cases of occupational contraindications were found in the re-examination,accounting for 24.9% of the total number of workers.The highest prevalnece of occupational contraindications was found in noise-exposed workers(39.7%).Conclusions Employers in Hangzhou corporations should focus on occupational hazards such as noise,benzene and dust,in order to discover health damage and carry out the effective preventive measures in time.Employers should carry out occupational health surveillance for these workers exposed to these occupational hazards.