摘要
目的分析2006—2020年江苏省职业性尘肺病新发病例,了解省内近年尘肺病发病情况和其分布特点,为进一步制定尘肺病防治对策提供参考依据。方法收集2006—2020年江苏省职业性尘肺病网络报告的数据资料,并对数据进行分析。结果2006—2020年江苏省职业性尘肺病新发病例9914例,男女性别比为15.80∶1,尘肺壹期最多(81.95%),发病年龄M(P25,P75)为60(52,67)岁,接尘工龄M(P25,P75)为12(5,23)年,发病年龄主要分布在60~<70岁(26.06%),接尘工龄<6年最多(28.27%)。2009年诊断病例数最多(10.13%),病例地区主要分布在无锡市(22.37%)、盐城市(22.34%)、苏州市(16.38%)和徐州市(14.61%)4市。尘肺种类最高的前3项为矽肺(71.56%)、煤工尘肺(13.18%)和电焊工尘肺(7.99%)。工种以凿岩工最多(31.10%)。尘肺并发症主要为肺结核(0.37%)、肺及支气管感染(0.21%)。经济类型以国有经济企业最多(56.10%),其次为集体企业(21.07%)。企业规模以小型企业最多(62.19%),其次为大型企业(24.79%)。行业分布最高的前3项为卫生和社会工作(14.56%)、社会事务管理机构(14.10%)、煤炭开采和洗选业(11.82%)。不同经济类型、企业规模、发病年龄、接尘工龄、工种、行业分布的病例尘肺期别分布差异均有统计学意义(均P<0.05)。结论2006—2020年江苏省职业性尘肺病患者多维度分布特征与当地产业结构、企业特征等因素联系紧密。对高危行业岗位,需加强监管,以消除接尘劳动者可能接触的职业危害因素从而降低可能发生的职业病风险。
Objective To analyze the new cases of occupational pneumoconiosis in Jiangsu Province from 2006 to 2020,understand the incidence and distribution characteristics of pneumoconiosis in Jiangsu Province in recent years,and provide reference basis for further developing prevention and control strategies for pneumoconiosis.Methods The data of occupational pneumoconiosis network reports in Jiangsu Province from 2006 to 2020 were collected,and the data were analyzed.Results There were 9914 new cases of occupational pneumoconiosis in Jiangsu Province from 2006 to 2020,with a sex ratio of 15.80:1.The first stage of pneumoconiosis was most common(81.95%),the average age[M(P25,P75)]of onset was 60(52,67)years old,the of dust exposure age[M(P25,P75)]was 12(5,23)years,the age of onset was mainly distributed between 60-<70 years old(26.06%),and dust exposure age was mainly<6 years(28.27%).The number of diagnosed cases in 2009 was the largest(10.13%),and the cases were mainly distributed in Wuxi City(22.37%),Yancheng City(22.34%),Suzhou City(16.38%)and Xuzhou City(14.61%).The top three types of pneumoconiosis were silicosis(71.56%),coal workers'pneumoconiosis(13.18%),and welder's pneumoconiosis(7.99%).The rock drilling was the most common type of work(31.10%).The main complications of pneumoconiosis were pulmonary tuberculosis(0.37%)and lung and bronchial infection(0.21%).For the economic type,the state-owned enterprises were the most(56.10%),followed by collective enterprises(21.07%).For the enterprise size,the small enterprises were the most(62.19%),followed by large enterprises(24.79%).The top three sectors with the highest distribution were health and social work(14.56%),social affairs administration(14.10%),and coal mining and washing(11.82%).There were statistically significant differences in distribution of pneumoconiosis stages among cases in different economic type,enterprise size,age of onset,years of exposure to dust,work type and industry distribution(all P<0.05).Conclusions The multi-dimensional distribution charac
作者
刘逸辰
周琅
韩磊
谢丽庄
LIU Yichen;ZHOU Lang;HAN Lei;XIE Lizhuang(Department of Chronic Diseases,Nanjing Lishui District Center for Disease Control and Prevention,Nanjing Jiangsu,211200,China;Institute of Occupational Disease Prevention and Control,Jiangsu Center for Disease Control and Prevention,Nanjing Jiangsu,210028,China)
出处
《职业与健康》
CAS
2023年第21期2897-2901,2906,共6页
Occupation and Health
基金
江苏省自然科学基金面上项目(BK20201485)
江苏省科技计划专项资金(重点研发计划社会发展)项目(BE2022803)
江苏省医学重点学科(ZDXK202249)。
关键词
江苏省
尘肺病
新发病例
Jiangsu Province
Pneumoconiosis
New cases
