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以三个工厂3 279名铸钢、铸铁工为暴露组, 以同厂1 176 名机加、修机工为非暴露组, 对1972 年1 月1 日在册的队列成员进行了回顾性队列研究。观察期自1972 年1 月1 日至1992 年12 月31 日。结果表明, 铸造工肺癌粗死亡率46-44/10 万, 占恶性肿瘤死亡的30-10 % , 在恶性肿瘤死亡中居首位。以一般人群作参比标准时, 铸工标化死亡比(Standarrized Mortality Ratio, SMR) 为1-56 , 1-83 ( P< 0-05)。男性尘肺患者肺癌死亡率高于男性非尘肺患者, SMR 为2-15 (χ2 = 6-92) , 相对危险度(RR) 为3-40 (χ2 = 6-96) , 年龄分层处理后总的相对危险度(Relative Risk Total RRT) 为1-69 (χ2MH= 1-19)。结果表明,该队列铸造工肺癌死亡超量, 尘肺患者尤为明显。
A retrospective cohort study was conducted on 3,129 cast steel castings and cast iron workers in the three factories for the exposure group and 1 176 mechanized and mechanized repair workers in the same plant as the non-exposed group on January 1, 1972. . Observation period from January 1, 1972 to December 31, 1992. The results showed that the rough death rate of foundry lung cancer was 46-44 / 100000, accounting for 30% -10% of the deaths of malignant tumors, ranking first in the death of malignant tumors. With the general population as a reference standard, the Standarrized Mortality Ratio (SMR) was 1-56 and 1-83 (P <0-05). The mortality of lung cancer patients with male pneumoconiosis was higher than that of male patients with non-pneumoconiosis, the SMR was 2-15 (χ2 = 6-92) and the relative risk (RR) was 3-40 (χ2 = 6-96) Relative Risk Total RRT was 1-69 (χ2MH = 1-19). The results show that the cast iron foundry lung cancer deaths are particularly evident in patients with pneumoconiosis.