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目的分析尘肺病患者体检指标的变化情况,及时发现早期职业健康损害,为有效预防尘肺病提供依据。方法依据GBZ188-2007《职业健康监护技术规范》对唐山市某矿山接触粉尘作业514人及对照41人进行职业健康检查,分析尘肺病患者各项体检指标的变化情况。结果累积尘肺病患者119人,占接尘作业总人数的23.15%。工龄在30～35年之间的患病例数最高。尘肺病组的肺功能、血常规、尿常规的异常率以及吸烟、饮酒的比例均高于对照组,差异有统计学意义(P<0.05)。结论接尘工龄的增长、吸烟均可增加尘肺病的发病危险。应加强对接尘工人肺功能、血常规、尿常规检查结果的分析。
Objective To analyze the changes of physical examination indexes of patients with pneumoconiosis, discover the early occupational health damage in time, and provide the basis for the effective prevention of pneumoconiosis. Methods Based on GBZ188-2007 Technical Code of Occupational Health Monitoring, occupational health examination was conducted on 514 dust-contact work and 41 control workers in a mine in Tangshan City to analyze the changes of physical examination indexes of patients with pneumoconiosis. Results A total of 119 pneumoconiosis patients, accounting for 23.15% of the total number of dust-intensive operations. The seniority is between 30 and 35 years of service. Pneumoconiosis group lung function, blood, urine abnormalities and smoking, alcohol consumption were higher than the control group, the difference was statistically significant (P <0.05). Conclusion Increasing the length of service of taking dust and smoking can increase the risk of pneumoconiosis. Should be strengthened in dust workers lung function, blood, urine routine examination results analysis.