粉尘作业人员诊断为观察对象后随访情况调查

发布时间：2019-04-13 19:04

【摘要】：目的探讨粉尘作业人员诊断为观察对象后的随访情况。方法以2009年本中心职业健康检查数据为基础资料,筛选出观察对象,分析人群分布、行为与职业接触特征,采用观察法分析其3年的复查随访情况。结果观察对象年龄中位数47(29~81)岁;接尘工龄中位数22(2~43)年。观察对象诊断明确后,连续3年定期复查者仅11例(占2.51%),复查2次以上者55例(占12.53%),复查过1次者181例(占41.23%),诊断后从未复查者192例(占43.74%)。企业安排进行职业健康检查的观察对象复查率高于劳动者个人进行职业健康检查的复查率(58.23%vs 15.00%,P0.01)。3年随访期间,有43例观察对象诊断为尘肺病壹期,其中以诊断后的第2年确诊病例较多,占67.44%。结论应加强观察对象的随访,做好动态观察,保护劳动者健康权益。
[Abstract]:Objective to investigate the follow-up of dust workers after they were diagnosed as observation objects. Methods based on the data of occupational health examination in 2009, the observed subjects were screened out, the distribution of population, the characteristics of behavior and occupational contact were analyzed, and the follow-up results of 3 years were analyzed by observation method. Results the median age of the observed subjects was 47 (29 / 81) years, and the median age of dust exposure was 22 (2 / 43) years. Only 11 cases (2.51%) were re-examined regularly for 3 years, 55 cases (12.53%) were re-examined more than twice, 181 cases (41.23%) were reexamined once, after the diagnosis of the observation object was confirmed, only 11 cases (2.51%) were checked regularly for 3 years, 55 cases (12.53%) were examined more than twice. 192 cases (43.74%) had never been re-examined after diagnosis. The rate of occupational health check-up by enterprises was higher than that of individual workers (58.23%vs 15.00%, P0.01). During 3-year follow-up, the rate of occupational health check-up was higher than that of individual workers (15.00%, P0.01). 43 cases were diagnosed as the first stage of pneumoconiosis, of which 67.44% were diagnosed in the second year after diagnosis. Conclusion follow-up and dynamic observation should be strengthened to protect workers' health rights and interests.
【作者单位】：乌鲁木齐市疾病预防控制中心;
【分类号】：R135.2

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