摘要
目的探讨2010—2016年在苏州市第五人民医院住院的尘肺病患者主要死亡原因及分布情况,为尘肺病的防治提供科学依据。方法通过回顾流行病学分析方法,对64例尘肺病死亡病例进行死亡情况分析。结果 64例死亡病例中,肺心病28例(43.8%),恶性肿瘤18例(28.1%),心脑血管疾病27例(42.2%),呼吸衰竭32例(50.0%);恶性肿瘤在尘肺壹、贰、叁期死亡患者中的比例分别为42.4%、15.4%及11.1%。各期病死率分别为2.51%、4.49%和31.03%,差异有统计学意义(χ~2=122.381,P<0.05);石棉肺患者中,心脑血管疾病死亡比例为78.6%,显著高于矽肺患者(30.6%),差异有统计学意义(χ~2=10.333,P<0.01);冬春季(10—3月份)死亡人数占总人数的73.4%。结论加强职业健康检查工作,对尘肺病患者做到早发现早治疗和预防并发症的发生,其中尘肺患者肿瘤筛查及石棉肺患者心脑血管疾病的进展情况对于预后尤为重要。
[Objective] To analyze the main causes of death and the distribution of patients with pneumoconiosis who were admitted in our hospital between 2010 and 2016 ,provide scientific references for the prevention and treatment of pneumoconiosis. [Methods] By using the retrospective epidemiology method,the death causes of 64 pneumoconiosis cases were analyzed. [Results] In 64 death cases,there were 28 cases （43.8%） of pulmonary heart diseases, 18 cases （28.1%） of malignancies, 27 cases （42.2%） of cardio-cerebrovascular diseases,and 32 cases （50%） of respiratory failure. The proportion of malignant tumors in death cases of phase Ⅰ , Ⅱ ,and Ⅲ pneumoeoniosis was respectively 42.4%, 15.4% and 11.1%,while the fatality rate was respectively 2.51%, 4.49% and 31.03%, and the difference was statistically significant （X2= 122.381, P〈0.05 ）.The proportion of death caused by cardio-cerebrovascular diseases in patients with asbestosis was 78.6% ,which was higher than that in patients with pneumosilicosis（30.6%）,and the difference was statistically significant（x2=10.333,P〈0.01 ）. The death cases in winter and spring （October to March of the next year） accounted for 73.4% of total death cases.[Conclusion~ It is important to strengthen the occupational health examination,implement the early detection and early treatment of pneumoconiosis,prevent the complications,and pay more attention to tumor screening among patients with pneumoconiosis and progression of cardio- cerebrovascular disease among patients with asbestosis.
出处
《职业与健康》
CAS
2017年第12期1606-1608,共3页
Occupation and Health
关键词
尘肺病
死亡
原因
Pneumoconiosis
Death
Cause
