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目的了解泉州市尘肺病流行趋势,为制定防治措施提供依据。方法收集泉州市2007—2014年新发尘肺病例资料,对发病年龄、工龄和尘肺期别等指标进行统计分析。结果泉州市2007—2014年共诊断尘肺病331例,以矽肺(84.0%)和煤工尘肺(13.6%)为主;发病年龄31.7~79.0岁(49.7±10.7)岁,工龄1~45年(14.6±9.3)年,二者均有逐年降低趋势。≥40岁占82.2%,40~49岁和≥60岁组、发病工龄≥20年和Ⅰ、Ⅱ期尘肺发病数均呈上升趋势。随发病年龄的增加Ⅰ、Ⅱ期尘肺比重逐渐降低,Ⅲ期尘肺比重逐渐升高;发病工龄与尘肺期别无关联。结论泉州市尘肺病高年龄发病数、高工龄发病数、Ⅰ期和Ⅱ期尘肺发病数呈上升趋势,发病年龄与尘肺期别有关。应有针对性地加强健康筛查,预防尘肺病高发。
Objective To understand the epidemic trend of pneumoconiosis in Quanzhou and provide the basis for making prevention and control measures. Methods The data of new cases of pneumoconiosis from 2007 to 2014 in Quanzhou were collected, and statistical analysis was made on the age of onset, length of service and pneumoconiosis stage. Results A total of 331 cases of pneumoconiosis were diagnosed between 2007 and 2014 in Quanzhou city, with silicosis (84.0%) and coal worker’s pneumoconiosis (13.6%) as main symptoms. The onset age ranged from 31.7 to 79.0 years (49.7 ± 10.7) years and from 1 to 45 years 14.6 ± 9.3) years, both decreasing year by year. ≥40 years old accounted for 82.2%, 40 ~ 49 years old and ≥60 years old group, the length of service ≥ 20 years and stage Ⅰ, Ⅱ pneumoconiosis incidence are on the rise. With the increase of age, the proportion of pneumoconiosis in stage Ⅰ and Ⅱ gradually decreased, and the proportion of pneumoconiosis in stage Ⅲ gradually increased. There was no correlation between the length of service and pneumoconiosis stage. Conclusions The incidence of pneumoconiosis in Quanzhou was higher than that of pneumoconiosis. The incidence of pneumoconiosis in stage I and II showed an upward trend. The age of onset was related to pneumoconiosis. Should be targeted to strengthen health screening, prevention of high incidence of pneumoconiosis.