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目的通过对巴彦淖尔市某制药厂作业人员的腹部B超(肝、胆、脾、肾)检查结果分析,为企业的职业病防治和职业卫生管理工作提供科学的依据。方法选择2015年某制药厂参加职业健康检查的所有作业人员1 263例,对其腹部B超结果进行分析。结果各年龄组在脂肪肝、肝脏其他异常、胆囊异常、肾脏异常检出率方面,差异有统计学意义(P<0.01),≥50岁异常最多;肝脾肿大检出率各年龄组差异无统计学意义(P>0.05);各工龄组在脂肪肝、肾脏异常检出率方面,差异有统计学意义(P<0.01),脂肪肝、肾脏异常检出率均在≥20 a工龄组出现异常值最多,0~5 a工龄组异常值最少,各工龄组肝脾肿大、肝脏及胆囊异常检出率,差异均无统计学意义(P>0.05);男性作业人员在脂肪肝、肝脾肿大、肾脏异常方面检出率高于女性(P<0.05),在肝脏、胆囊异常方面检出率,男女差异无统计学意义(P>0.05);生产类型作业人员肝脾肿大检出率远高于热电、巡检作业人员(P<0.01),肾脏异常检出率低于热电、巡检作业人员(P<0.01),在脂肪肝、肝脏、胆囊异常方面检出率,差异无统计学意义(P>0.05);洗涤、过滤、抽滤岗位作业人员脂肪肝发病率最高,其余各项异常检出率,差异无统计学意义(P>0.05)。结论该制药厂作业人群中B超异常人数较多。
OBJECTIVE: To provide a scientific basis for the prevention and control of occupational diseases and the management of occupational health in enterprises by analyzing the results of the examination of the abdominal B-ultrasonography (liver, gall bladder, spleen and kidney) of a pharmaceutical factory operator in Bayannur City. Methods A total of 1 263 cases of occupational health examination in a pharmaceutical factory in 2015 were selected and their abdominal ultrasonographic findings were analyzed. Results There were significant differences in the detection rates of fatty liver, other liver abnormalities, gallbladder abnormalities and renal abnormalities in all age groups (P <0.01), the highest abnormality in ≥50 years, the detection rate of hepatosplenomegaly in each age group There was no significant difference between the two groups (P> 0.05). There was significant difference in the detection rate of abnormality of fatty liver and kidney in each service group (P <0.01) There were no significant differences in the detection rate of abnormal liver and gallbladder (P> 0.05). The male workers in the fatty liver, (P <0.05). There was no significant difference between male and female in the detection rate of liver and gallbladder abnormalities (P> 0.05). The incidence of hepatosplenomegaly (P <0.01). The detection rate of renal anomalies was lower than that of pyroelectricity and inspection workers (P <0.01). The detection rates of fatty liver, liver and gallbladder abnormalities were significantly higher than those of thermal workers and inspection workers (P <0.01) The difference was not statistically significant (P> 0.05); washing, filtration, suction filter post workers the highest incidence of fatty liver, the rest of the Often detection rate, no significant difference (P> 0.05). Conclusion There are more B-abnormalities among the working population in this pharmaceutical factory.