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目的对昆明铁路局职业病危害作业人员健康监护状况进行分析,为制定有效的干预措施和防制职业病提供依据。方法使用描述性流行病学研究方法对昆明铁路局2009年职业病危害因素监测结果和作业人员健康监护结果进行统计和分析。结果昆明铁路局职业病危害监测合格率为:粉尘84.09%,毒物92.86%,噪声48.72%,其他物理因素(手传振动、工频电场、高温)100%。职业病危害作业人员受监护率97.44%;异常检出率为:高频听力损失5.37%,胸片异常0.11%,心电图异常6.52%,血压异常1.19%,实验室检查:血常规异常3.10%,尿常规异常3.42%;职业禁忌证4人。结论粉尘、噪声是昆明铁路局主要的职业病危害因素,在进行职业病综合防治的同时还应重视职业安全教育并积极开展健康促进活动。
Objective To analyze the status of occupational hazards in Kunming Railway Administration and provide basis for effective intervention and prevention of occupational diseases. Methods Descriptive epidemiological methods were used to analyze and analyze the monitoring results of occupational hazards and the results of occupational health monitoring in Kunming Railway Bureau in 2009. Results The passing rate of occupational hazards in Kunming Railway Administration was 84.09%, 92.86% of dust, 48.72% of noise and 100% of other physical factors (hand vibration, power frequency electric field, high temperature). Occupational hazards workers were supervised at a rate of 97.44%. Anomalous detection rates were: high-frequency hearing loss of 5.37%, chest radiography abnormality of 0.11%, electrocardiogram abnormality of 6.52%, abnormal blood pressure of 1.19%, laboratory tests of blood abnormalities 3.10% General abnormal 3.42%; 4 occupation contraindications. Conclusion Dust and noise are the main occupational hazards in Kunming Railway Administration. At the same time, we should pay attention to occupational safety education and carry out health promotion activities while carrying on the comprehensive prevention and control of occupational diseases.