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目的了解龙岩市某县近年煤矿接尘作业人员的职业健康体检和监护情况。方法对2004—2011年煤矿工人职业性体检情况进行分析。结果 2004-2011年共组织5次职业性体检,体检1 866人,体检≥2次者占6.4%(119/1866);尘肺病观察对象和疑似尘肺人检出率分别为11.7%和10.5%,仅3人申请职业性尘肺病诊断(2例Ⅰ期尘肺,1例Ⅱ期尘肺)。体检次数≥2次的观察对象与疑似尘肺病检出率高于体检1次者。结论该县煤矿工人有93.6%仅进行1次职业性体检,每年体检对象变更较多,职业健康监护未按规范有序进行。尘肺病观察对象和疑似尘肺病检出率较高;疑似病例未申请职业病诊断。
Objective To understand occupational health examination and guardianship of mine dust-contact workers in a county in Longyan in recent years. Methods The occupational physical examination of coal miners from 2004 to 2011 was analyzed. Results There were 5 occupational physical examinations in 2004-2011, with 1 866 physical examinations and 6.4% (119/1866) physical examinations ≥ 2 times. The detection rates of pneumoconiosis patients and suspected pneumoconiosis patients were 11.7% and 10.5% , Only 3 people applied for the diagnosis of occupational pneumoconiosis (2 cases of stage I pneumoconiosis, 1 case of pneumoconiosis). The number of physical examination ≥ 2 times the object of observation and suspected pneumoconiosis detection rate was higher than the first physical examination. Conclusion 93.6% of coal mines in this county only conduct one occupational physical examination. There are many changes in physical examinations each year and occupational health monitoring fails to be carried out orderly. Pneumoconiosis subjects and suspected pneumoconiosis detection rate is higher; suspected cases did not apply for occupational disease diagnosis.