2023年成都市郫都区重点职业病监测结果分析

摘要/Abstract

摘要： 目的了解2023年成都市郫都区接触重点职业病危害因素的劳动者职业健康监测情况,为制定辖区内职业病防治措施提供参考依据。方法收集2023年1月1日—12月31日重点职业病危害因素职业健康检查及职业病报告资料,并对收集资料进行整理分析。结果 2023年成都市郫都区有972家企业17 740名在岗接害工人进行了职业健康检查,共涉及127种职业病危害因素,检出疑似职业病7人,职业禁忌证78人。不同类型粉尘接触工人中,矽尘、电焊烟尘及其他粉尘分别检出2、1和1例尘肺样改变,检出率为0.43%、0.07%和0.01%;矽尘、煤尘（煤矽尘）、石棉粉尘、水泥粉尘、电焊烟尘和其他粉尘肺通气功能障碍检出率分别为9.64%、5.57%、13.56%、3.83%、8.67%和11.74%。苯接触工人白细胞、中性粒细胞及血小板计数异常检出率分别为3.36%、2.63%和1.21%;接噪工人双耳高频平均听阈≥40 dB检出率为5.31%。2023年成都市郫都区累积共报告12例职业病确诊病例,包括职业性尘肺病7例（矽肺 6例、铸工尘肺1例）和职业性噪声聋5例。结论成都市郫都区重点职业病为尘肺病、职业性噪声聋,不同企业分布类型中,制造业和建筑业为重点监控行业,私有及小、微型企业为职业病防治重点管控对象。

关键词: 职业病危害因素, 职业健康检查, 职业病报告, 监测结果

Abstract: Objective To understand the occupational health monitoring of workers exposed to major occupational disease hazards in Pidu District of Chengdu in 2023,and to provide a reference scientific basis for occupational disease prevention and control measures in the jurisdiction. Methods Collect information on occupational health examination and occupational disease reports for major occupational disease hazards from January 1 to December 31,2023,and organize and analyze the collected information. Results In 2023,972 enterprises in Pidu District of Chengdu conducted occupational health examinations on 17 740 workers who were exposed to occupational hazards,cumulative total of 127 kinds of occupational disease hazards,detection of suspected occupational disease 7 people,occupational contraindications 78 people. Among workers exposed to different types of dusts,2 cases,1 case,and 1 case of pneumoconiosis-like changes were detected in silica dust,welding fume,and other dusts,with detection rates of 0.43%,0.07%,and 0.01%,respectively. The detection rates of pulmonary ventilation dysfunction in silica dust,coal dust（coal silica dust）,asbestos dust,cement dust,welding fume,and other dusts were 9.64%,5.57%,13.56%,3.83%,8.67% and 11.74%,respectively. The detection rates of leukocyte,neutrophil and platelet count abnormalities in benzene-exposed workers were 3.36%,2.63% and 1.21%,respectively,and the detection rate of binaural high-frequency hearing threshold ≥40 dB in noise-exposed workers was 5.31%. In 2023,totally 12 confirmed cases of occupational diseases were reported in Pidu District of Chengdu,including 7 cases of occupational pneumoconiosis（6 cases of silicosis and 1 case of foundry pneumoconiosis） and 5 cases of occupational noise deafness. Conclusion Pneumoconiosis,occupational noise deafness are the key occupational diseases in Pidu District of Chengdu. Among the different types of enterprise distribution,manufacturing and construction are the key monitoring industries,and private and micro or small enterprises are the key control targets for occupational disease prevention and control.

Key words: Occupational hazards, Occupational health examination, Occupational disease reporting, Surveillance results

中图分类号:

R135

曹应琼, 梅丽敏. 2023年成都市郫都区重点职业病监测结果分析. [J]职业与健康, 2025, 41(19): 2593-2598.

CAO Yingqiong, MEI Limin. Analysis of monitoring results of major occupational disease in Pidu District of Chengdu in 2023. [J]OCCUPATION AND HEALTH, 2025, 41(19): 2593-2598.

参考文献

[1] LI J,PENG Y,WANG H D,et al.The burden of pneumoconiosis in China:An analysis from the Global Burden of Disease Study 2019[J].BMC Public Health,2022,22(1):1114
[2] 成都市卫生健康委员会.关于印发成都市2023年职业病防治项目实施方案的通知[Z].四川:成都,2023:3-31.
[3] 中华人民共和国卫生和计划生育委员会.职业健康监护技术规范:GBZ 188—2014[J].北京:中国标准出版社,2014:10-88.
[4] LI J,PENG Y,WANG H D,et al.The disease burden attributable to 18 occupational risks in China:An analysis for the global burden of disease study 2017[J].Environ Health,2020,19(1):21.
[5] KANG M Y.Occupational risk factors for hypertension[J].J Hypertens,2022,40(11):2102-2110.
[6] 李玟,费宇,李至韬,等.成都市某职业人群的高血压患病现状及相关影响因素分析[J].现代预防医学,2021,48(15):2720-2725.
[7] 单文萍,王馨,胡真,等.高血压综合干预对职业场所高血压患者生活质量的改善效果评价[J].中国心血管杂志,2024,29(3):238-246.
[8] 冯艳,王芳丽,穆耶赛尔·麦麦提明.大学生体检心电图特征分析[J].实用心电学杂志,2024,33(4):325-329.
[9] YAGI R,MORI Y,GOTO S,et al.Routine electrocardiogram screening and cardiovascular disease events in adults[J].JAMA Intern Med,2024, 184(9):1035-1044.
[10] 孟慧敏,张盼盼.天津市健康职业人群部分血常规参考值范围调查[J].职业卫生与应急救援,2017,35(2):131-133.
[11] OZA H H,LEE M G,BOISSON S,et al.Occupational health outcomes among sanitation workers:A systematic review and meta-analysis[J].Int J Hyg Environ Health,2022,240:113907.
[12] 商维维,阴旅宁,杜利利,等.2012—2022年四川省职业病发病情况分析[J].现代预防医学,2023,50(16):2926-2930,2999.
[13] 彭艳,张磊,朱嫒嫒,等.杭州市苯接触作业在岗工人血常规异常及影响因素分析[J].预防医学,2020,32(10):1059-1061.
[14] 李敏嫣,黄德寅,朱福康,等.基于生物监测指标评估的低浓度苯暴露职业健康风险[J].职业卫生与应急救援,2022,40(4):387-392,400.
[15] 王爱红,冷朋波,李晓海,等.低浓度苯、甲苯和二甲苯接触职业健康风险评估[J].中华劳动卫生职业病杂志,2019,37(8):627-632.
[16] ZHANG L,SUN P,et al.SUN D.Occupational health risk assessment of the benzene exposure industries:A comprehensive scoring method through 4 health risk assessment models[J].Environ Sci Pollut Res,2022, 29:84300-84311.
[17] 周珊宇,温贤忠,陈嘉斌,等.广东省重点职业病监测情况与职业健康风险评估[J].中国公共卫生,2019,35(5):549-553.
[18] 蒋恩霏,王辉,杜利利,等.四川省制造业中小微企业职业病危害现状调查[J].现代预防医学,2021,48(18):3295-3299.
[19] 魏金玉,刘洋.2019年重庆市江北区重点职业病监测与职业健康风险评估[J].职业与健康,2020,36(20):2759-2762,2767.
[20] ZHOU J N,SHI Z H,ZHOU L F,et al.Occupational noise-induced hearing loss in China:A systematic review and meta-analysis[J].BMJ Open,2020,10:e039576.
[21] 云水英,郭媛媛,王明良,等.2022年石景山区重点职业病监测结果分析[J].中国工业医学杂志,2023,36(6):545-548.
[22] 闵之藤,梁娇君,陈振龙,等.2019年武汉市重点职业病监测分析与职业健康风险评估[J].职业与健康,2022,38(8):1017-1020,1025.
[23] 梅丽敏,廖婵,王琳.2019—2021年成都市郫都区重点职业病危害因素监测分析[J].河南预防医学杂志,2023,34(2):159-162.