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目的为做好进藏列车乘务人员职业健康监护提供帮助。方法依据GBZ 188-2014《职业健康监护技术规范》的要求,对2014年某铁路局共计576名进藏列车乘务人员进行职业健康监护,并对结果进行分析。结果检出目标疾病31人,占受检总人数的5.4%。其中血红蛋白增高者22人,高血压2级者2人,红细胞增多者7人,肺功能异常者5人。上岗前与在岗期间比较,受检人员血红蛋白增高、高血压2级、红细胞增多、肺功能异常检出率差异均无统计学意义(均P>0.05);男性受检人员血红蛋白升高率明显高于女性受检人员(P<0.05)。结论不同性别受检员工血红蛋白升高检出的差异十分明显,应进一步研究分析其产生原因;进藏列车乘务人员在接触高原作业危害后对身体产生的危害较小,这可能与受检单位良好的职业防护理念和规律有效的职业健康监护工作有关。
Aim To provide assistance in occupational health monitoring for flight attendants in Tibet. Methods According to the requirements of GBZ 188-2014 Technical Code for Occupational Health Monitoring, occupational health monitoring was conducted on a total of 576 flight attendants attending railways in Tibet in 2014, and the results were analyzed. Results The target disease was detected in 31 people, accounting for 5.4% of the total number of subjects examined. Among them, 22 were elevated hemoglobin, 2 were hypertension 2, 7 were erythrocytes, 5 were lung dysfunction. There was no significant difference in the detection rates of HbA1c, HbA1c, erythrocytosis and pulmonary dysfunction between the pre-job and post-office workers (all P> 0.05). The elevated rate of hemoglobin in the male subjects was significantly higher For female subjects (P <0.05). Conclusions The differences of hemoglobin detected by employees of different sexes are very obvious, and the causes of hemoglobin rise should be further studied and analyzed. The harm to the body caused by crew members entering the train in Tibet is less harmful to the body, which may be related to the good unit of examination The concept of occupational protection and the law of effective occupational health monitoring work.