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广东省2006—2016年新报告职业性尘肺病的流行病学特征

发布时间:2018-08-18 16:39
【摘要】:[目的]描述2006—2016年期间广东省新报告职业性尘肺病的发病和分布情况,探讨其流行病学特征并提出防治建议。[方法]采用SPSS 21.0软件对"职业病与职业卫生信息监测系统"中广东省2006—2016年尘肺病报告卡信息进行整理和流行病学特征分析,包括病种构成、发病年份、发病年龄、接尘工龄、地区、行业、企业规模、经济类型等分布情况。[结果]2006—2016年期间广东省新报告职业性尘肺病病例2 362例,分期以壹期(1 470例,62.24%)为主,病种以矽肺(1 568例,66.38%)为主,其他尘肺(351例,14.86%)和电焊工尘肺(252例,10.67%)为辅。新报告职业性尘肺病病例数从2006年(74例)急速上升到2011年(284例),达到小高峰后,2011—2015年呈"锯齿式"曲折上升趋势,2015年达到高峰(309例)后,2016年(259例)降至2014年水平。职业性尘肺病新病例中,男性2 313例(97.93%),女性49例(2.07%)。壹期新病例发病年龄M(P25,P75)为44(38,49)岁,接尘工龄M(P25,P75)为9(6,14)年。各类职业性尘肺病的高发行业以制造业为主(66.21%)。职业性尘肺病新病例数位于前5位的城市分别为佛山市(556例,23.54%)、广州市(434例,18.37%)、深圳市(272例,11.52%)、中山市(208例,8.81%)和韶关市(167例,7.07%)。发病病例有企业聚集、群体发病的趋势,2006—2016年中发病的1 036家企业中25.39%的企业有2例以上的尘肺病。病例主要分布在私有经济类型企业(55.72%),小型、中型企业尘肺病比例高(分别为37.30%和34.16%)。[结论]广东省职业性尘肺病主要以矽肺为主。目前发病形势整体仍处于高发期,但占全省职业病总数的比例自2013年起呈下降趋势。
[Abstract]:[objective] to describe the incidence and distribution of newly reported occupational pneumoconiosis in Guangdong Province from 2006 to 2016, to explore its epidemiological characteristics and to put forward suggestions for prevention and treatment. [methods] the information of pneumoconiosis report card in Guangdong Province from 2006 to 2016 was analyzed with SPSS 21.0 software, including the composition of disease, the year of onset and the age of onset. Dust exposure, region, industry, enterprise size, economic types and other distribution. [results] from 2006 to 2016, 2,362 cases of occupational pneumoconiosis were newly reported in Guangdong Province. The major diseases were one-stage (1,470 cases, 62.24%), silicosis (1,568 cases, 66.38%), other pneumoconiosis (351 cases, 14.86%) and electric welder's pneumoconiosis (252 cases, 10.67%). The number of newly reported cases of occupational pneumoconiosis has risen sharply from 74 in 2006 to 284 in 2011, with a "zigzag" upward trend in 2011-2015, a peak in 2015 (309 cases) and a decline in 2016 (259 cases) to 2014 levels. Among the new cases of occupational pneumoconiosis, there were 2 313 cases (97.93%) in males and 49 cases (2.07%) in females. The onset age M (P25 P75) was 44 (3849) years, and the length of exposure to dust was 9 (614) years. The high incidence of occupational pneumoconiosis was mainly in manufacturing industry (66.21%). The new cases of occupational pneumoconiosis were found in Foshan City (556 cases, 23.54%), Guangzhou City (434 cases, 18.37%), Shenzhen City (272 cases, 11.52%), Zhongshan City (208 cases, 8.81%) and Shaoguan City (167 cases, 7.07%). The incidence cases were enterprise aggregation, and the trend of population incidence was 25.39% of the 1,036 enterprises from 2006 to 2016 with more than 2 cases of pneumoconiosis. Cases of pneumoconiosis were mainly distributed in private enterprises (55.72%), and the rates of pneumoconiosis in small and medium-sized enterprises were 37.30% and 34.16%, respectively. [conclusion] silicosis is the main disease of occupational pneumoconiosis in Guangdong province. At present, the overall incidence of the disease is still in the period of high incidence, but the proportion of the total number of occupational diseases in the province has decreased since 2013.
【作者单位】: 广东省职业病防治院基层指导科;广东省职业病防治院办公室;广东省职业病防治院院长室;
【基金】:广东省医学科研基金(编号:B2015010,C2017008)
【分类号】:R135.2

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