GBZ 188-2014《职业健康监护技术规范》相关问题的探讨

Discussion on relevant issues of Technical Specifications for Occupational Health Surveillance (GBZ 188-2014)

GBZ 188-2014《职业健康监护技术规范》是判定疑似职业病、职业禁忌证的重要依据。职业禁忌证与中毒损害分级存在交叉或重叠, 与常见疾病或症状的程度、范围存在歧义, 在岗期间体检周期的规定与现行标准冲突。本文基于大人群职业健康检查实践, 结合临床医学、职业卫生标准、职业病诊断标准等, 对部分条款进行研究分析, 提出修改建议, 为《职业健康监护技术规范》修订、职业健康检查实践提供参考。

Technical Specifications for Occupational Health Surveillance(GBZ 188-2014)is an important basis for judging suspected occupational diseases and occupational contraindications.There are crossing over or overlap between occupational contraindications and diagnostic criteria of poisoning damage.Occupational contraindications have different meanings with the degree and range of common diseases or symptoms and the frequency of physical examination during employment conflicts with the current standard.Based on the practice of occupational health examination in a large population,the present study analyzed relevant articles and put forward some suggestions for revision,in combination with clinical medicine,occupational health standards,and diagnostic standards of occupational diseases.The modification could provide a reference for the revision of Technical Specifications for Occupational Health Surveillance and the practice of occupational health examination.