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目的了解龙岩市5家省级煤矿作业人员尘肺病发病情况,为今后制定预防措施提供依据。方法选取2012年5-6月间,该5家省级煤矿的接尘作业工人1 539人进行职业健康检查,依据GBZ 70-2009《尘肺病诊断标准》诊断后,按5家省级煤矿作业工人的发病率、初始接尘年龄、发病年龄、发病工龄进行统计分析。结果共诊断尘肺病242例,其中壹期尘肺181例,贰期尘肺53例,叁期尘肺8人。5家省级煤矿工人发病最高是丙矿16.71%。初始接尘年龄:戊矿与乙矿比较差异有统计学意义(t=2.61,P<0.05);戊矿与乙矿壹期尘肺接尘年龄比较:差异有统计学意义(t=2.04,P<0.05);尘肺病发病的年龄:甲矿与乙矿差异有统计学意义(t=2.22,P<0.05);壹期尘肺病发病年龄比较:甲矿与乙矿差异有统计学意义(t=2.57,P<0.05);发病工龄:甲矿与戊矿比较差异有统计学意义(t=2.15,P<0.05)。结论要加强“三级预防”的各个环节,加强职业安全教育培训、作业场所的防护措施,全面做到湿式作业,降低或消除作业场所粉尘的危害,使用有效的个人防护用品。应进行上岗前、在岗时、和离岗职业健康检查,并建立职业健康档案。
Objective To understand the incidence of pneumoconiosis in coal miners in 5 provincial coal miners in Longyan City and to provide basis for future preventive measures. Methods From May to June in 2012, 1 539 workers exposed to dust in 5 provincial coal mines were investigated for occupational health. After diagnosing according to GBZ 70-2009 Diagnostic Criteria for Pneumoconiosis, 5 provincial coal mines The incidence of workers, the initial dusting age, age of onset, length of service for statistical analysis. Results A total of 242 cases of pneumoconiosis were diagnosed, of which 181 cases were pneumoconiosis, 53 cases were pneumoconiosis in the second stage and 8 were pneumoconiosis in the third stage. The highest incidence of coal miners in five provincial-level coal mine is 16.71% of C mine. The initial dusting age: There was a significant difference between E and B (t = 2.61, P <0.05). The dust-dust age of E and E in the first phase of pneumoconiosis was statistically different (t = 2.04, P <0.05). The age of onset of pneumoconiosis: There was a significant difference between mine and mine B (t = 2.22, P <0.05). The age of onset of pneumoconiosis was statistically different = 2.57, P <0.05). The age of onset of disease: There was a significant difference between ore and peat mine (t = 2.15, P <0.05). Conclusion It is necessary to strengthen all aspects of “third-level prevention”, strengthen occupational safety education and training, protective measures in workplaces, fully implement wet work, reduce or eliminate the hazards of workplace dust and use effective personal protective equipment. Should be pre-job, on the job, and leave occupational health checks, and the establishment of occupational health files.