摘要
[目的]探讨郴州市农民工煤工尘肺患者的临床特点和相关因素。[方法]对2006年郴州市疾病预防控制中心诊断的140例农民工煤工尘肺患者体检资料进行分析。[结果]140例患者中，尘肺Ⅰ期32例，Ⅱ期84例，Ⅲ期24例；自觉气短、胸痛、胸闷、咳嗽、咯痰者分别占78．57％、55．71％、88．57％、97．14％、71．43％；并发肺结核、慢性支气管炎、肺气肿、肺心病、高血压、心律失常的分别占36．43％、48．57％、35．71％、19．29％、43．57％、67．86％。140例病人中，肺功能正常的占12．86％，肺功能轻度、中度、重度损伤者分别占17．86％、50．71％、18．57％。肺功能损伤者所占比例，Ⅰ、Ⅱ、Ⅲ型尘肺病人分别为56．25％、95．24％、100．00％（P〈0．01），接尘工龄〈15年、15～19年和20～30年者分别为48．15％、93．88％、98．43％（P〈0．01）。[结果]农民工煤工尘肺患者并发症患病率较高，肺功能损伤严重。
[Objective]To explore the clinical characteristics and related factors of CWP （coal workers pneumoconiosis） in Chenzhou city. [Methods]Data of physical examination of 140 CWP cases diagnosed in Chenzhou Center for disease control and Prevention in 2006 were analyzed. [Results] Of the 140 cases, 32 pneumoconiosis cases at stage Ⅰ , 84 cases at stage Ⅱ and 24 cases at stage were reported. The symptoms of short of breath, chest pain, chest tightness, coughing, breathlessness accounted for 78.57% ,55.71% ,88.57% ,97.14%,71.43% respectively. The complications of tuberculosis,chronic bronchitis, emphysema, cor pulmonale, hypertension and arrhythmias accounted for 36.43%, 48.57%, 35.71% ,19. 29%,43. 57%,67.86% respectively. The cases with normal pulmonary function accounted for 12.86%. The cases with slight,medium and severe damage of pulmonary function accounted for 17.86%,50.71%,18.57%. The damage of pulmonary function among pneumoconiosis cases at stage Ⅰ ,Ⅱ ,Ⅲ accounted for 56.25 %, 95.24%, 100.00% （ P〈0.01）. The cases exposed to dust 〈15,15-19 and 20-30 years accounted for 48. 15%,93.88%,98.43% （ P 〈0.01）. [Conclusion]The complications in CWP cases were rather high. The damage of pulmonary function was serious.
出处
《预防医学论坛》
2007年第11期976-978,共3页
Preventive Medicine Tribune
关键词
煤工尘肺
农民工
并发症
肺功能损伤
CWP
Migrant workers
Complications
Pulmonary function
