江门市某化工企业员工健康状况的连续调查研究

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目的了解江门市某化工企业使用生产有机溶剂的职业危害现状,为江门市职业卫生的监督管理、职业病防治工作提供依据。方法对某化工企业使用及生产有机溶剂过程中产生的职业性危险因素进行连续的调查研究,同时对作业现场空气中化学毒物浓度进行检测,对工人进行定期职业健康检查,将所得资料与信息进行综合分析。结果 2014年作业场所空气中化学有毒有害物质监测合格率为97.4%,同年接触组与对照组中发生白细胞降低率差异具有统计学意义(P<0.05);2015、2016年作业场所空气中化学有毒有害物质监测合格率均为100%,白细胞降低患者在该段时间内未出现明显差异不具有统计学意义(P>0.05);接触组鼻炎、咽炎患病率一直高于对照组差异具有统计学意义(P<0.01),接触组呼吸系统症状明显。结论该企业使用有机溶剂主要是苯、甲苯、二甲苯、乙酸乙酯、二异氰酸甲苯酯等。有机溶剂危害性大,在完善预防措施的情况下仍对工人健康造成一定的影响和损害。该企业职业卫生防护工作到位,应这通过成功经验向社会进一步宣传职业卫生的重要性。 Objective To understand the status quo of occupational hazards of using organic solvents in a chemical enterprise in Jiangmen City and provide the basis for supervision and management of occupational diseases and prevention and control of occupational diseases in Jiangmen City. Methods The occupational risk factors in the process of using and producing organic solvents in a chemical enterprise were continuously investigated. At the same time, the concentration of chemical poisons in the air of the working site was tested, and regular occupational health examination was conducted on workers. The obtained information and information Comprehensive analysis. Results In 2014, the qualified rate of chemical toxic and harmful substances in workplace air was 97.4%. In the same year, the difference of leukocyte reduction between exposure group and control group was statistically significant (P <0.05). In 2015 and 2016, the workplace chemical toxic The monitoring rate of harmful substances were all 100%, and there was no significant difference between the two groups (P> 0.05). The prevalence of rhinitis and pharyngitis in the contact group was always higher than that of the control group Significance (P <0.01), respiratory group symptoms were obvious. Conclusion The enterprises use organic solvents are mainly benzene, toluene, xylene, ethyl acetate, toluene diisocyanate and so on. Organic solvents have great harm, and under the circumstance of perfecting the precautionary measures, they still exert some influence and damage on the workers’ health. The enterprise occupational health protection work in place, it should be through the successful experience of the community to further promote the importance of occupational health.
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