本文選題：塵肺 + 接塵工齡　； 參考：《工業(yè)衛(wèi)生與職業(yè)病》2016年01期

【摘要】：目的了解河北省確診塵肺病病例接塵工齡變化趨勢(shì),為制定河北省塵肺病防治對(duì)策提供依據(jù)。方法采用SPSS 17.0統(tǒng)計(jì)軟件進(jìn)行數(shù)據(jù)整理,篩選2001-2012年河北省確診的塵肺病例進(jìn)行分析;不同地區(qū)、塵肺種類、工種、接塵年份、開始接塵年代工人的接塵工齡總體分布的Kruskal-Wallis H檢驗(yàn)、兩兩比較的K-S檢驗(yàn)以及不同經(jīng)濟(jì)類型、行業(yè)、企業(yè)規(guī)模的兩因素方差分析;按接塵年份、開始接塵年代作塵肺病病例接塵工齡的趨勢(shì)分析。結(jié)果隨著接塵年代不同塵肺病例的接塵工齡呈現(xiàn)明顯時(shí)間序列下降趨勢(shì),矽肺接塵工齡(13a)明顯低于其他塵肺(煤工塵肺、陶工塵肺、水泥塵肺、電焊工塵肺分別為25、20、24、25a),鑿巖工、破碎工接塵工齡最短(9、9a),塵肺病例塵肺種類、工種、接塵年份、開始接塵年代工人的接塵工齡H檢驗(yàn)結(jié)果顯示,差異均有統(tǒng)計(jì)學(xué)意義(P0.01);承德地區(qū)塵肺病病例的接塵工齡最短(8a),小型企業(yè)的工齡最短(8a),有色金屬行業(yè)的工齡最短(9a),私有經(jīng)濟(jì)類型的工齡最短(8a),不同地區(qū)、經(jīng)濟(jì)類型、行業(yè)、企業(yè)規(guī)模的方差分析結(jié)果顯示,差異均有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論河北省塵肺病例的接塵工齡均呈縮短趨勢(shì),塵肺病患病形勢(shì)依然嚴(yán)峻。建議在重點(diǎn)行業(yè),對(duì)重點(diǎn)粉塵企業(yè)、重點(diǎn)工種職業(yè)人群制定塵肺病防治行動(dòng)計(jì)劃,采取綜合控制措施,降低塵肺危害,保護(hù)勞動(dòng)者健康,促進(jìn)企業(yè)健康協(xié)調(diào)發(fā)展。
[Abstract]:Objective to understand the changing trend of dust-exposed service of confirmed pneumoconiosis cases in Hebei Province, and to provide evidence for the prevention and treatment of pneumoconiosis in Hebei Province. Methods the data of pneumoconiosis cases diagnosed in Hebei Province from 2001 to 2012 were analyzed by SPSS 17.0 statistical software, and the Kruskal-Wallis H test of the total distribution of workers' exposure years in different areas, types of pneumoconiosis, types of work, years of dust exposure, and the beginning of dust-exposed years was used to test the distribution of pneumoconiosis cases in Hebei Province from 2001 to 2012. K-S test and variance analysis of two factors in different economic types, industries and enterprises, and trend analysis of pneumoconiosis cases' exposure years according to the year of dust exposure. Results with the time series of exposure to pneumoconiosis in different pneumoconiosis cases decreased, silicosis was significantly lower than other pneumoconiosis (coal pneumoconiosis, pottery pneumoconiosis, cement pneumoconiosis, welder pneumoconiosis) were 2520 / 24 / 25a / a, rock drillers respectively. The shortest exposure time of broken workers to dust was 9 years. The results of H test showed that the pneumoconiosis cases had pneumoconiosis types, types of work, year of dust exposure, and workers' exposure to dust at the beginning of dust exposure. The difference was statistically significant (P 0.01). The shortest exposure time of pneumoconiosis cases in Chengde area was 8as, that of small enterprises was 8as, that of non-ferrous metals was 9as, that of private economy was 8as, that of different regions, economic types and industries. The results of ANOVA showed that the differences were statistically significant (P 0.01). Conclusion the working time of pneumoconiosis cases in Hebei Province is shortened, and the situation of pneumoconiosis is still severe. It is suggested that the action plan for the prevention and treatment of pneumoconiosis should be formulated for key dust enterprises and occupational groups in key industries, and comprehensive control measures should be taken to reduce pneumoconiosis hazards, to protect the health of workers and to promote the healthy and coordinated development of enterprises.
【作者單位】： 河北省疾病預(yù)防控制中心;
【基金】：河北省衛(wèi)生計(jì)生委醫(yī)學(xué)科學(xué)研究重點(diǎn)課題(20130089)
【分類號(hào)】：R135.2

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