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预防医学  2022, Vol. 34 Issue (7): 696-699    DOI: 10.19485/j.cnki.issn2096-5087.2022.07.010
  疾病监测 本期目录 | 过刊浏览 | 高级检索 |
2016—2020年湖州市疑似职业病报告病例特征及诊断情况
刘弢, 张鹏, 张传会, 李辉
湖州市疾病预防控制中心环境与职业卫生科,浙江 湖州 313000
Epidemiological characteristics and diagnosis of reported cases with suspected occupational diseases in Huzhou City from 2016 to 2020
LIU Tao, ZHANG Peng, ZHANG Chuanhui, LI Hui
Department of Environmental and Occupational Health, Huzhou Center for Disease Control and Prevention, Huzhou, Zhejiang 313000, China
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摘要 目的 了解2016—2020年湖州市疑似职业病病例特征,分析职业病报告工作质量,为职业病监测及预警提供依据。方法 通过中国疾病预防控制信息系统职业病及健康危害因素监测信息系统收集2016—2020年湖州市报告的疑似职业病病例资料,包括性别、年龄、工种、行业、企业规模和诊断等,计算发现率、诊断率和确诊率,描述性分析不同地区、行业和企业规模的疑似职业病病例分布与诊断情况。结果 2016—2020年湖州市参加职业健康检查264 398人,发现疑似职业病病例322例,发现率为12.18/万。其中,疑似尘肺病179例,占55.59%;疑似职业性耳鼻喉口腔疾病78例,占24.22%;疑似职业性中毒54例,占16.77%;疑似职业性皮肤病6例,占1.86%;疑似物理因素所致职业病3例,占0.93%;疑似其他呼吸系统疾病2例,占0.62%。男性290例,占90.06%;女性32例,占9.94%。年龄为(53.28±9.20)岁。进行职业病诊断207例,诊断率为64.29%;确诊155例,确诊率为74.88%。不同地区、企业、行业比较,长兴县报告疑似职业病病例数较多,101例占31.37%,诊断率较高,为88.12%;小型企业报告疑似职业病病例数较多,220例占68.32%,诊断率为68.64%;制造业报告疑似职业病病例数较多,228例占70.81%,诊断率为56.14%;农、林、牧、渔业,批发和零售业,公共管理、社会保障和社会组织诊断率均为0。结论 2016—2020年湖州市报告疑似职业病以尘肺病为主,诊断率偏低,应重点加强对小型企业职业病防治的监管,规范疑似职业病报告制度。
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刘弢
张鹏
张传会
李辉
关键词 疑似职业病职业病诊断职业健康检查    
AbstractObjective To investigate the epidemiological characteristics of suspected cases with occupational diseases and analyze the quality of occupational diseases report in Huzhou City from 2016 to 2020, so as to provide insights into supervision and early warning of occupational diseases. Methods The epidemiological data pertaining to suspected cases with occupational diseases reported in Huzhou City from 2016 to 2020 were retrieved from the Occupational Disease and Health Risk Factors Monitoring Information System of China Disease Prevention and Control Information System, including gender, age, type of job, industry category, enterprise size and diagnosis. The percentages of identification, diagnosis and definitive diagnosis were calculated, and the distribution and diagnosis of suspected cases with occupational diseases were descriptively analyzed among different regions, industry categories and enterprise sizes. Results A total of 264 398 people underwent occupational health examinations in Huzhou City from 2016 to 2020, and 322 suspected cases with occupational diseases were detected (12.18/104), including 179 cases with suspected pneumoconiosis (55.59%), 78 cases with suspected occupational ear, nose, throat and oral diseases (24.22%), 54 cases with suspected occupational poisoning (16.77%), 6 cases with suspected occupational skin diseases (1.86%), 3 cases with suspected occupational diseases caused by physical factors (0.93%) and 2 cases with other suspected respiratory diseases (0.62%). The 322 cases with suspected occupational diseases included 290 men (90.06%) and 32 women (9.94%), and had a mean age of (53.28±9.20) years. A total of 207 cases underwent occupational diseases diagnosis (64.29%), and 155 cases were definitively diagnosed with occupational diseases (74.88%). Among different counties (districts) in Huzhou City, the highest number of suspected cases with occupational diseases was reported in Changxing County (101 cases, 31.37%), with a diagnostic rate of 88.12%, and among all enterprises, the highest number of suspected cases with occupational diseases was reported in small enterprises (220 cases, 68.32%), with a diagnostic rate of 68.64%, while among all industry categories, the highest number of suspected cases with occupational diseases was reported in manufacture industry (228 cases, 70.81%), with a diagnostic rate of 56.14%. In addition, there was no suspected case with occupational diseases detected in agriculture, forestry, animal husbandry, fishery, wholesale/retail trade industry, or public administration, social security or social organizations. Conclusion Pneumoconiosis was the predominant type of suspected occupational diseases in Huzhou City from 2016 to 2020, and a low diagnostic rate was found. Improved supervision of occupational diseases control is strongly recommended among small enterprises to standardize the reporting system of suspected occupational diseases.
Key wordssuspected occupational disease    occupational disease diagnosis    occupational health examination
收稿日期: 2022-03-09      修回日期: 2022-04-21      出版日期: 2022-07-10
中图分类号:  R195  
基金资助:湖州市科技计划项目(2015GYB01)
通信作者: 张鹏,E-mail:hzjkzp@163.com   
作者简介: 刘弢,硕士,副主任医师,主要从事环境与职业卫生工作
引用本文:   
刘弢, 张鹏, 张传会, 李辉. 2016—2020年湖州市疑似职业病报告病例特征及诊断情况[J]. 预防医学, 2022, 34(7): 696-699.
LIU Tao, ZHANG Peng, ZHANG Chuanhui, LI Hui. Epidemiological characteristics and diagnosis of reported cases with suspected occupational diseases in Huzhou City from 2016 to 2020. Preventive Medicine, 2022, 34(7): 696-699.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.07.010      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I7/696
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