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目的了解深圳市某区三氯乙烯作业人群的健康状况,为三氯乙烯职业病危害因素防控策略提供参考。方法收集2013—2014年辖区三氯乙烯作业人群在岗期间职业健康检查数据共374名,并选取同期三氯乙烯作业工人上岗前检查数据共126名,进行统计分析。结果三氯乙烯作业人群总异常率为73.8%,2014年度该群体总异常率高于2013年度的总异常率;三氯乙烯作业人群的肝功能异常率为21.66%,高于上岗前工人肝功能异常率,主要为胆红素升高(57例),占肝功能异常的69.5%;肝功能异常与性别有关联,男性比女性更易发生肝功能异常,优势比为2.95。结论该区三氯乙烯作业群体健康状况不容忽视,该人群处于亚健康状态的态势也趋于恶化,有必要采取措施提高该群体的健康水平。
Objective To understand the health status of trichlorethylene workers in a district of Shenzhen and provide reference for the prevention and control strategies of trichlorethylene occupational hazards. Methods A total of 374 occupational health examinations were collected during the period from 2013 to 2014 in the area of trichlorethylene workers. A total of 126 trichlorethylene workers were selected for pre-appointment inspection in the same period for statistical analysis. Results The total abnormal rate of trichlorethylene workers was 73.8%. The total abnormal rate of this group was higher than the total abnormal rate of 2013. The abnormal liver function rate of trichlorethylene workers was 21.66%, higher than that of workers before the job Abnormal rates were mainly elevated in bilirubin (57 cases), accounting for 69.5% of abnormal liver function. Abnormal liver function was associated with gender. Male was more likely to have liver dysfunction than female with odds ratio 2.95. Conclusion The health condition of trichlorethylene workers in this district should not be neglected. The sub-health status of the population is also deteriorating. It is necessary to take measures to improve the health status of the trichlorethylene group.