目的了解水泥企业职业卫生现状,为进一步提高水泥企业职业卫生管理和制定控制措施提供建议。方法以某市9家水泥企业为调查对象,对职业病危害因素进行职业卫生调查、检测和实验室分析。结果水泥企业职业病危害因素主要为粉尘和噪声,粉尘、噪声和高温的检测结果存在不合格的现象,合格率分别为53.6%、80.9%和83.3%;9家企业中,2家企业尚未开展职业健康检查,1家企业仅对接触粉尘作业人员进行了职业健康检查,其中22名粉尘接触工人出现肺纹理增粗、紊乱,14名噪声接触工人出现听力下降;所有企业均设置了职业卫生管理组织机构,但制定的制度均不完善;3家企业的口罩不符合相关标准,其中1家未给职工发放防噪耳塞,且每家企业均有部分工人未按要求佩戴。结论水泥企业应加强对粉尘和噪声的防护,给工人配备合格有效的个人防护用品,且应定期组织培训,提高工人的防护意识。 Objective To understand the status quo of occupational health in cement enterprises and to provide suggestions for further improving occupational health management and formulating control measures in cement enterprises. Methods Taking 9 cement enterprises in a city as the investigation object, occupational health investigation, testing and laboratory analysis were conducted on occupational hazards. Results The main risk factors of occupational hazards in cement enterprises were unqualified test results of dust, noise, dust, noise and high temperature, with passing rates of 53.6%, 80.9% and 83.3% respectively. Of 9 enterprises and 2 enterprises, no occupations were carried out Health inspection, a company only exposed dust workers conducted occupational health checks, of which 22 workers exposed to dust lung texture thick, disorder, 14 workers with noise exposure hearing loss; all enterprises have set up Occupational Health Management Organization Institutions, but the system is not perfect; 3 masks do not meet the relevant standards, of which 1 did not give workers release noise-proof earplugs, and each company has some workers did not wear as required. Conclusion Cement enterprises should strengthen the protection of dust and noise, equip workers with qualified and effective personal protective equipment, and organize regular training to raise workers’ awareness of protection.