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目的了解2008-2013年广州市工伤参保职工职业病发生规律及工伤保险直接费用支出情况。方法收集广州市劳动社会保障与能力鉴定系统工伤登记数据库职业病病例资料,采用SPSS 16.0统计软件包进行统计学分析。结果 6年间广州市参保职工中有145例职业病,男性占93.10%,女性占6.90%;以2013年职业病发病率最高,达151.81‰;2010年最低,为8.00‰;各年度发病率差异有统计学意义(χ2=111.13,P<0.05)。居前3位的职业病是职业性手臂振动病、尘肺和职业性肿瘤,分别占56.03%(65/145)、39.66%(46/145)和7.76%(9/145);地区分布以萝岗区、增城区和黄浦区为多,共92例,占63.4%。2008—2010年工伤保险费用支出占总费用的11.54%,2011—2013年的费用占88.46%。结论 2008—2013年广州市职业病发病率和费用支出逐年上升,以职业性手臂振动病、肿瘤和尘肺病为主,是重点防治病种。
Objective To understand the occupational disease occurrence and work-related injury insurance direct expenditure of workers insured in Guangzhou during 2008-2013. Methods The data of occupational disease of occupational injury registration database in Guangzhou Social Security and Capability Appraisal System were collected and analyzed by SPSS 16.0 statistical package. Results In the 6 years, there were 145 occupational diseases in Guangzhou city participating workers, accounting for 93.10% of males and 6.90% of females; the highest incidence of occupational diseases was 151.81% in 2013 and the lowest was 8.00% in 2010; Statistical significance (χ2 = 111.13, P <0.05). The top 3 occupational diseases were occupational arm vibration diseases, pneumoconiosis and occupational tumors, accounting for 56.03% (65/145), 39.66% (46/145) and 7.76% (9/145) respectively. District, Zengcheng District and Huangpu District as much, a total of 92 cases, accounting for 63.4%. Work injury insurance expenses accounted for 11.54% of the total cost in 2008-2010, and 88.46% in 2011-2013. Conclusion The incidence and cost of occupational diseases in Guangzhou increased from 2008 to 2013. Occupational arm vibration, tumor and pneumoconiosis were the major diseases in Guangzhou.