武钢尘肺病例的流行病学分析--尘肺的病程、分布及并发肺结核等特征.pdf

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1、工业卫生与职业病Z005年第31卷第5期3Z0IndlthOccupDisZ005Vol.31No.5专题研究武钢尘肺病例的流行病学分析!!!尘肺的病程"分布及并发肺结核等特征张晓敏1!李济超1!张建成1!杨磊Z1.武钢安全环保研究所湖北武汉430080Z.华中科技大学同济医学院湖北武汉430030!摘要"目的分析武钢历年来尘肺病例的发病工龄晋期时间分布及并发肺结核等流行病学特点为尘肺防治提供科学依据方法采用回顾性研究方法对武钢1958～Z003年底所有已确诊的尘肺病例发病情况进行分析结果武钢的尘肺病例主要分

2、布在矿山占84.04其中凿岩工最多占54.94尘肺病例的发生自Z0世纪80年代后逐年减少80年代以后接尘的工人仅1人发病尘肺平均发病工龄为Z5.8a平均发病年龄为49.5岁90年代较60年代分别延长了19a和16岁I期晋H期的平均年限为3.8aH期晋皿期的平均年限为7.5a且随发病年龄的增加而呈缩短的趋势肺结核并发率17.10随尘肺期别的增高肺结核并发率增加结论武钢尘肺防治工作取得显著成效建议加强职业性健康监护和粉尘浓度的监测管理!关键词"尘肺病分布发病晋期#中图分类号$R135.Z#文献标识码$A#文章编号

3、$1000-7164Z00505-03Z0-05EpidemiologicalStudyonPneumoconiosisinWISCOCourseofDiseaseDistributionandComplicationwithTuberculosis。LIji-chao。Z~ANGjian-cheng。YANGLeiZ~ANGXiao-min。InstituteofSafetyEnvironmentalProtectionWuhanIronSteelCompanyWuhan430080ChinaAbstrac

4、tObectiveToanalyZeepidemiologicalcharacteristicsofpneumoconiosisinWISCOsuchastheageofpneumoconiosisoccurrenceprogressiontimedistributionandcomplicationWithpulmonarytuberculosisinpastyearsandtoprovidescientificcriteriaforpreventionandtreatmentofpneumoconiosi

5、s.MethodsRetrospectivestudyWascarriedouttorecruitthepneumoconiosiscasesWithdefinitediagnosesfrom1958totheendofZ003inWISCO.ResultsCasesofpneumoconiosisinWISCOdistributedmainlyinminingaccountfor84.04amongthemrockdrillingWorkersoccupiedthemost54.94.Incidenceof

6、pneumoconiosiscasesdecreasedafter1980s.OnlyoneWorkerWhoexposeddustafter1980Wasdiagnosedaspneumoconiosis.ForallcasestheaveragelatencyofpneumoconiosisWasZ5.8years.TheaverageageofpneumoconiosisoccurrenceWas49.5years.IncomparisonWiththeaveragelatencyandaveragea

7、geofpneumoconiosisoccurrencebetWeen1960sand1990sthereWere19and16yearsdelayrespectively.TheaverageprogressiondurationsI、HandH、皿Were3.8and7.5yearsrespectivelyanddecreasedbyincreaseoftheageofpneumoconiosisoccurrence.TherateofcomplicationWithtuberculosisWas17.1

8、0andincreasedWiththeprogression.ConclusionsThepreventionandtreatmentofpneumoconiosisinWISCOhavegainedobviousefficacy.ItsuggeststhathealthsurveillanceandWorkplacemonitoringhavebeenplayingimportantrolein