职业与健康 ›› 2026, Vol. 42 ›› Issue (8): 1143-1147.

• 综述 • 上一篇    下一篇

化学因素职业健康风险评估方法研究进展

魏源1, 张海东2()   

  1. 1 山东第一医科大学/山东省医学科学院山东 济南 250062
    2 山东省职业卫生与职业病防治研究院山东 济南 250062
  • 收稿日期:2025-07-28 修回日期:2025-09-01 出版日期:2026-04-15 发布日期:2026-05-18
  • 通信作者: 张海东,E-mail:zhd_sdu@163.com
  • 作者简介:魏源,男,在读硕士研究生,研究方向为职业流行病学与风险评估。
  • 基金资助:
    山东省医药卫生科技发展计划项目(202012010578)

Progress of research on occupational health risk assessment methods for chemical factors

WEI Yuan1, ZHANG Haidong2()   

  1. 1 Shandong First Medical University/Shandong Academy of Medical SciencesJinanShandong 250062, China
    2 Shandong Academy of Occupational Health and Occupational MedicineJinanShandong 250062, China
  • Received:2025-07-28 Revised:2025-09-01 Online:2026-04-15 Published:2026-05-18
  • Contact: ZHANG Haidong,E-mail:zhd_sdu@163.com

摘要:

工作场所暴露的化学因素种类繁多,职工接触后造成的健康损伤影响多样。科学开展职业健康风险评估(occupational health risk assessment,OHRA)是有效识别与管控职业病危害的关键环节。鉴于不同化学物质的理化特性、暴露途径及毒理机制存在差异,选择适用的评估方法至关重要。本文系统梳理了国内外化学因素OHRA方法体系,涵盖国际典型评估模型(如新加坡化学毒物职业暴露半定量风险评估方法、罗马尼亚职业事故和职业病风险评估方法等)和我国职业卫生标准GBZ/T 298—2017《工作场所化学有害因素职业健康风险评估技术导则》推荐的方法以及部分创新方法。探究上述方法评估7类化学因素职业健康风险的特点、优势与局限性,并基于应用研究提出评估不同类别化学因素职业健康风险的最优或组合方法的策略建议。研究结果旨在为企业针对化学因素的职业健康风险评估提供一定参考价值,为职业卫生专业技术人员提升作业场所职业健康风险管理能力提供理论依据,进一步合理地预防职业病发生。

关键词: 化学因素, 作业场所暴露, 职业健康, 风险评估, 评估模型, 方法学研究

Abstract:

There are many kinds of chemical factors exposed in the workplace,and the health effects of workers exposed to them are various. The scientific implementation of occupational health risk assessment(OHRA) is a key link to effectively identify and control occupational hazards. In view of the differences in physicochemical properties,exposure routes and toxicologyical mechanisms of different chemicals,it is very important to choose an appropriate assessment method.This study systematically sorted out the OHRA method system of chemical factors at home and abroad,it covers the typical international assessment models(such as the semi-quantitative risk assessment method for occupational exposure to chemical poisons in Singapore,the risk assessment method for occupational accidents and occupational diseases in Romania) and the methods recommended by the Chinese occupational health standard GBZ/T 298-2017“Technical Guidelines for Occupational health risk assessment of Chemical hazards in the Workplace” as well as some innovative methods. The characteristics,advantages and limitations of the above methods in assessing occupational health risks of seven types of chemical factors are explored,and the strategic suggestions on the optimal or combination methods for assessing occupational health risks of different types of chemical factors are put forward based on applied research. The results of this study aim to provide a reference value for the occupational health risk assessment of chemical factors in enterprises and provide a theoretical basis for occupational health professionals to improve the occupational health risk management ability in the workplace,to prevent occupational diseases more reasonably.

Key words: Chemical factors, Workplace exposures, Occupational health, Risk assessment, Assessment models, Methodological studies

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