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目的通过了解常州市某区涂料生产企业工人职业健康状况,为指导企业更好地开展职业病防治工作,保护劳动者健康提供科学依据。方法对辖区内涂料生产企业作业环境中职业病危害因素进行检测,对2011—2013年职业健康检查监护资料进行统计分析。结果共监测403份样品,其中苯超标率为13.0%,甲苯超标率为3.2%,二甲苯超标率为2.6%。636名涂料生产工人中,健康检查结果正常者占30.3%,白细胞计数偏低检出率为10.4%,以5~9 a工龄组为最高,且随工龄增加呈上升趋势,差异有统计学意义(P<0.05)。女性白细胞计数偏低检出率(16.0%),明显高于男性(8.0%),差异有统计学意义(P<0.01)。其他疾患的检出率为59.3%,其中肝胆疾患、丙氨酸转氨酶活力偏高、血压偏高在男女两组的检出率差异有统计学意义(P<0.01)。结论生产企业要加强对生产现场的管理,确保通风等防护设施的正常使用,职能监管部门要继续加强监督管理,完善职业健康监护制度,有效控制职业危害的发生。
Objective To understand the occupational health status of workers in paint production enterprises in a certain area of Changzhou by providing a scientific basis for guiding enterprises to better carry out prevention and treatment of occupational diseases and to protect their health. Methods To test the occupational hazards in the operating environment of coating manufacturers in the area and make statistical analysis on the data of occupational health monitoring in 2011-2013. Results A total of 403 samples were monitored. Among them, benzene exceeded 13.0%, toluene exceeded 3.2%, and xylene exceeded 2.6%. 636 paint production workers, the health examination results were normal accounted for 30.3%, low detection rate of white blood cell count was 10.4%, 5 ~ 9 a working age group was the highest, and with increasing length of service was an upward trend, the difference was statistically significant (P <0.05). The detection rate of low white blood cell count (16.0%) was significantly higher in women than in men (8.0%) (P <0.01). The detection rate of other diseases was 59.3%. The detection rate of hepatobiliary disease and alanine aminotransferase was high, and the blood pressure was high in both groups (P <0.01). Conclusion Production enterprises should strengthen the management of the production site to ensure the normal use of ventilation and other protective facilities. The functional supervision departments should continue to strengthen supervision and management, improve the occupational health guardianship system and effectively control occupational hazards.