职业与健康 ›› 2026, Vol. 42 ›› Issue (12): 1591-1596.

• 论著—职业卫生与职业相关疾病 • 上一篇    下一篇

4种职业健康风险评估方法在高原地区和平原地区压气站场的应用对比

时佳, 徐密娟, 王崇靖, 郭航, 刘大鹏, 张丽芳()   

  1. 河北中石油中心医院职业卫生技术服务中心河北 廊坊 065000
  • 收稿日期:2025-04-07 修回日期:2025-08-10 出版日期:2026-06-15 发布日期:2026-06-18
  • 通信作者: 张丽芳,E-mail:358377134@qq.com
  • 作者简介:时佳,女,高级工程师,主要从事职业卫生检测工作。
  • 基金资助:
    2022年廊坊市科学技术研究与发展计划(第1批)自筹经费项目(2022013017)

Comparative application of four occupational health risk assessment methods in compressor stations across plateau and plain areas

SHI Jia, XU Mijuan, WANG Chongjing, GUO Hang, LIU Dapeng, ZHANG Lifang()   

  1. Occupational Health Technical Service Center of Hebei Petrochina Central HospitalLangfangHebei 065000, China
  • Received:2025-04-07 Revised:2025-08-10 Online:2026-06-15 Published:2026-06-18
  • Contact: ZHANG Lifang,E-mail:358377134@qq.com

摘要:

目的 比较4种职业健康风险评估方法在高原与平原地区长输管道压气站场重点岗位中的适用性,为采取职业病危害控制措施提供依据。方法 选取高原地区和平原地区天然气长输管道某压气站场为研究对象,于2024年开展职业病危害因素现场调查和检测,分别采用GBZ/T 229《工作场所职业病危害作业分级》作业分级法、国际采矿和金属委员会(International Council on Mining and Metals,ICMM)职业健康风险评估模型法、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》中的综合指数法以及职业危害风险指数法对重点岗位的职业健康风险进行评估,比较4种方法结果差异。结果 2个地区压气站场重点岗位职业健康风险评估结果经风险比值标准化后,作业分级法评估各化学有害因素结果为低风险(2级),综合指数法评估各化学有害因素结果为低风险(2级),ICMM定量法评估结果中噪声为中风险(3级)、化学有害因素为可忽略风险(1级),职业危害风险评估法评估结果均为可忽略风险(1级)。采用SPSS 25.0进行Fleiss Kappa一致性检验,结果显示,4种方法一致性较低(Kappa=-0.202<0.2,P<0.01),差异有统计学意义。结论 每种风险评估方法中高原地区和平原地区长输管道压气站化学有害因素职业健康风险的评估结果相同,但4种方法之间评估结果一致性较低。4种风险评估方法分别适用于不同方面,同时使用可确保防控措施有效。

关键词: 高原地区, 平原地区, 职业卫生, 风险评估, 长输管道, 压气站

Abstract:

Objective To compare the applicability of four occupational health risk assessment methods in key positions of natural gas long-distance pipeline compressor stations located in plateau and plain areas,provide a basis for implementing occupational hazard control measures. Methods A compressor station of natural gas long-distance pipeline in the plateau area and another in the plain area were selected as the research objects,and the one-site investigations and detection of occupational hazard factors were conducted in 2024.The occupational health risk level of key positions were evaluated by the classification of Occupational Hazardous Work in the Workplace(GBZ/T 229),the International Council on Mining and Metals(ICMM) model,the comprehensive index method of Technical Guidelines for Occupational Health Risk Assessment of Chemical Hazardous Factors in the Workplace(GBZ/T 298-2017) and the occupational hazard risk index method,and the results of the four risk assessment methods were compared. Results All the results of four risk assessment methods were standardized using risk ratios,the method of classification of occupational hazards in the workplace evaluated all chemical hazardous factors as low risk(2nd level),the comprehensive index method also assessed all chemical hazardous factors as low risk(2nd level),the ICMM quantitative method showed that noise was medium risk(3rd level) and chemical hazardous factors were negligible risk(1st level),and the occupational hazard risk index method evaluated all chemical hazardous factors as negligible risk(1st level). A Fleiss Kappa consistency test was conducted using SPSS 25.0,and the result indicated a low overall agreement(Kappa=-0.202<0.2,P<0.01),which was statistically significant. Conclusions The evaluation results of occupational health risks from chemical hazardous factors in long-distance pipeline compressor stations in plateau and plain areas are consistent in each risk assessment method.However,the consistency of assessment results among the four methods is low.Each of the four methods is applicable to different aspects,and they can be used simultaneously to ensure the effectiveness of prevention and control measures.

Key words: Plateau area, Plain area, Occupational health, Risk assessment, Long-distance pipeline, Compressor stations

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