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目的探讨高血压作为某些特殊工种职业禁忌证存在的问题,为现行GBZ 188—2007《职业健康监护技术规范》的使用及修订提供参考。方法结合在实际工作中遇到的问题,在充分调查论证的基础上进行综合分析,提出相应的解决方法和建议。结果 GBZ 188—2007《职业健康监护技术规范》中,职业人群高血压的判断过于笼统,不够明确,高血压作为一些特种作业职业禁忌证的确定不够周密,存在空白区域,容易导致分歧。结论建议应强调规范、正确测量血压的重要性;进一步量化高血压作为职业禁忌证标准;充分考虑确定职业禁忌证的多种影响因素,消除空白区域。
Objective To explore the existing problems of occupational contraindication for hypertension in some special occupations and to provide reference for the current GBZ 188-2007 “Occupational Health Monitoring Technical Code”. Methods Combining with the problems encountered in the practical work, a comprehensive analysis is made on the basis of full investigation and demonstration, and the corresponding solutions and suggestions are put forward. Results GBZ 188-2007 “occupational health monitoring technical specifications”, the judgment of hypertension in the occupational population is too general, not clear enough, hypertension as a specialty job occupational taboos are not well-defined, there is a blank area, easily lead to disagreements. Conclusion The recommendations should emphasize the importance of normative measurement of blood pressure; further quantify hypertension as a standard of occupational contraindications; give full consideration to determining a variety of influencing factors of occupational contraindications and eliminate blank areas.