职业与健康 ›› 2025, Vol. 41 ›› Issue (12): 1595-1599.

• 论著 • 上一篇    下一篇

3种职业健康风险评估法在某合成橡胶制造企业的应用

张东升a, 甘霖a, 李瑶b, 王海荣b, 邱静b   

  1. 南充市疾病预防控制中心 a 环境健康危害防控科, b 职业病与辐射健康危害防控科,四川 南充 637000
  • 收稿日期:2024-09-22 修回日期:2024-09-30 出版日期:2025-06-15 发布日期:2025-12-11
  • 通信作者: 邱静,副主任医师,E-mail:601394756@qq.com
  • 作者简介:张东升,男,主管医师,主要从事职业与环境卫生工作。
  • 基金资助:
    四川省基层卫生事业发展研究中心重点项目(SWFZ23-Z-09)

Application of three occupational health risk assessment methods in a synthetic rubber manufacturing enterprise

ZHANG Dongshenga, GAN Lina, LI Yaob, WANG Hairongb, QIU Jingb   

  1. a Department of Environmental Health Hazard Prevention and Control, b Department of Occupational Disease and Radiation Health Hazard Prevention and Control, Nanchong Center for Disease Control and Prevention, Nanchong, Sichuan 637000, China
  • Received:2024-09-22 Revised:2024-09-30 Online:2025-06-15 Published:2025-12-11
  • Contact: QIU Jing,Associate chief physician,E-mail:601394756@qq.com

摘要: 目的 了解3种不同职业健康风险评估模型在某合成橡胶制造企业的适用性。方法 2024年1月对南充市某合成橡胶制造企业进行现场职业卫生学调查并检测化学毒物接触岗位的时间加权平均浓度(exposure concentration of time weighted average,CTWA),采用定性评估法、接触比值法和综合指数法对其职业健康风险进行评估并分析3种方法的适用性。结果 该企业化学毒物接触岗位主要为聚合、洗胶、烘胶岗位,接触化学毒物主要为丙烯酸乙酯、丙烯酸正丁酯。除洗胶岗位的丙烯酸乙酯(CTWA为28.6 mg/m3)超出参考职业接触限值(occupational exposure limit,OEL),其余岗位接触的化学毒物均低于OEL。定性评估法评估的风险等级大于接触比值法和综合指数法,3种方法评估结果互相比较Kappa值均为0,提示一致性均较差。结论 该企业存在化学毒物职业健康风险,应加强劳动者个人防护。3种方法评估结果不一致,定性评估法容易高估风险等级,接触比值法评估因子不全,相比之下综合指数法更符合实际情况。

关键词: 职业健康, 定性评估法, 接触比值法, 综合指数法

Abstract: Objective To understand the application of three different occupational health risk assessment models in synthetic rubber manufacturing industry. Methods In January 2024,an on-site occupational health survey was conducted on a synthetic rubber manufacturing enterprise in Nanchong City,and the exposure concentration of time weighted average(CTWA) of chemical toxin exposure positions was detected.Qualitative evaluation method,contact ratio method,and comprehensive index method were used to evaluate their occupational health risks and analyze the applicability of these three methods. Results The main positions exposed to chemical toxins in this enterprise were polymerization,rubber washing,and rubber drying positions,with the main exposure to chemical toxins being ethyl acrylate and n-butyl acrylate.Except for the ethyl acrylate(CTWA of 28.6 mg/m3) in the rubber washing position,which exceeded the reference occupational exposure limit(OEL),all other positions were exposed to chemical toxins below the OEL.The risk level evaluated by the qualitative evaluation method was higher than that evaluated by the contact ratio method and the comprehensive index method. The Kappa values of the three methods compared to each other were all 0,indicating poor consistency. Conclusion There are occupational health risks of chemical poisons in this enterprise,and personal protection of workers should be strengthened. The evaluation results of three methods are inconsistent. The qualitative evaluation method is easy to overestimate the risk level,and the contact ratio method has incomplete evaluation factors,while the comprehensive index method is more in line with the actual situation.

Key words: Occupational health, Qualitative evaluation method, Contact ratio method, Composite index method

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