摘要
[目的]了解闽西矿区尘肺发病情况及特点,为职业健康监护体系制定尘肺病预防策略提供依据。[方法]对2005～2011年龙岩市确诊的尘肺病例资料进行分析。[结果]闽西矿区2005～2011年累计有尘肺病人587例。其中,新发病例占76.49%,晋期病例占23.51%;Ⅰ期尘肺占68.48%,Ⅱ期尘肺占24.02%,Ⅲ期尘肺占7.50%;矽肺占21.12%,煤工尘肺占78.88%;煤炭开采与洗选业占97.10%,其他行业占2.90%。新发尘肺病例2005～2011年确诊的分别占14.92%、1.11%、20.04%、1.56%、37.42%、10.69%、14.25%。晋期病例2005～2011年晋期的分别占27.54%、0.72%、17.39%、1.45%、47.83%、5.07%、6.52%。尘肺病例的开始接尘年龄为23.56±6.01岁,发病工龄为26.81±11.92年,发病年龄为50.37±10.97岁。开始接尘年龄其他行业病例大于煤炭开采与洗选业病例,发病工龄其他行业病例小于煤炭开采与洗选业病例,病例的发病年龄其他行业小于煤炭开采与洗选业,差异均有统计学意义(P<0.01)。病例的开始接尘年龄、发病工龄和发病年龄,矽肺均大于煤工尘肺(P<0.05或<0.01),Ⅰ期尘肺、Ⅱ期尘肺、Ⅲ期尘肺之间的差异均有统计学意义(P<0.01)。尘肺病例肺结核合并率为3.07%。[结论]闽西矿区尘肺发病情况严重。
[Objective]To study the epidemiological characteristics of pneumoconiosis in Minxi mining area, so as to provide basis for initiating preventive strategies for occupational health surveillance system. [Methods]Pneumoconiosis ca- ses diagnosed during 2005-2011 in Longyan city were analyzed. [Results]In Minxi mining area, the number of pneumoconi- osis cases accumulated to 587 during 2005-2011,among which newly diagnosed cases accounted for 76.49 %, and promo- tively diagnosed cases accounted for 23.51% ; Cases at stage I accounted for 68. 48%, Cases at stageⅡ accounted for 24.02% ,Cases at stage Ill accounted for 7.50% ;Silicosis cases accounted for 21.12% ,coal workers pneumoconiosis cases accounted for 78.88 % ;Cases from coal miningand washing industry accounted for 97.10%, and that from other industries accounted for 2.90%. Newly diagnosed cases during 2005-2011 respectively accounted for 14.92%, 1.11%, 20.04%, 1.56% ,a7.42%, 10. 69% and 14.25%. The promotively diagnosed cases respectively accounted for 27.54%, 0.72%, 17.39%,1.45%,47.83%,5.07%,and 6.52%. The beginning 5ge of dust exposure of the cases was 23.56±6.01. The length of service of the cases was 26.81±11.92 years. The onset age of the cases was 50.37_＋ 10.97. The beginning age of dust exposure of the cases from other industries was elder than that from coal mining and washing industry. The length of service of the eases from other industries was shorter than that from coal mining and washing industry. The onset age of the cases from other industries was younger than that from coal mining and washing industry, the differences were all sta tistically significant（ P 〈0.01）. The beginning age of dust exposure,length of service and onset age of Silicosis were all greater than that of coal workers pneumoeoniosis（P〈0.05or〈0.01）, with statistical significance each stage（P〈0.01）. The morbidity of combined pulmonary tuberculosis was 3.07%. [Conclusion]Pneumoconiosis is still a serious problem in Minxi mining area.
出处
《预防医学论坛》
2012年第12期885-886,889,共3页
Preventive Medicine Tribune
基金
福建省区域科技重大项目(2010Y3006)
关键词
尘肺
特征
Pneumoconiosis
Characteristias
