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目的为了解高原客运值乘人员不宜值乘主要原因,为确定该人群职业健康检查生理筛选指标提供依据。方法依据铁道部办公厅和劳卫司(铁劳卫[2006]49号)《关于进一步加强青藏铁路卫生保障工作的通知》,对1400名青藏客运列车值乘人员进行岗前职业健康检查。结果岗前体检中不宜值乘人员有142人,占体检总人数的10.1%。不宜值乘主要原因有心血管系统、血液系统、呼吸系统、消化系统、泌尿系统、内分泌系统、运动系统及妇科等方面疾患。进入高原后的适应性体检中有11人不宜值乘,总不宜值乘人员为153人,占体检总人数的10.9%。结论现行的体检生理指标较适用,可及时发现职业禁忌证,有效地防止职业性高原病的发生。
Objective To understand the value of passengers ride on the plateau should not be the main reason for the value, to determine the physiological screening of occupational health screening indicators provide the basis. Methods According to the Circular of the Ministry of Railways and the Labor and Welfare Department (TTRL [2006] No. 49) on Further Strengthening the Health Security of the Qinghai-Tibet Railway, 1400 occupational health checks were conducted on the value of 1,400 passenger trains in Qinghai-Tibet. The results of pre-job physical examination should not take the staff of 142 people, accounting for 10.1% of the total number of physical examination. Not suitable for the main reasons for the cardiovascular system, blood system, respiratory system, digestive system, urinary system, endocrine system, motor system and gynecology and other diseases. In the adaptive physical examination after entering the plateau 11 people should not take advantage of the total number of staff should not be 153, accounting for 10.9% of the total number of physical examination. Conclusion The current physiological indicators of physical examination more applicable, timely identification of occupational contraindications to effectively prevent the occurrence of occupational high altitude sickness.