Xie L Z, Zhou L, Ding B M, Shen H, Han L, Zhou P, Zhang H D
The Center for Disease Control and Prevention of Jiangsu Province, Nanjing 210028, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2019 Mar 20;37(3):189-193. doi: 10.3760/cma.j.issn.1001-9391.2019.03.006.
To analyze the characteristics and patterns of occupational pneumoconiosis in Jiangsu Province, China, from 2006 to 2017, and to provide a scientific basis for government departments to develop effective interventions and preventive strategies against occupational pneumoconiosis. The data of 9327 patients with occupational pneumoconiosis were retrieved from the online report of occupational pneumoconiosis in Jiangsu Province from 2006 to 2017. Excel worksheet and SPSS 20.0 software were used to organize and analyze the data, respectively. An epidemiological statistical analysis was performed on age of onset, length of dust exposure, type of work, industry category, type of pneumoconiosis, annual incidence of pneumoconiosis, regional distribution, enterprise scale, and economic category in those patients. A total of 9 327 patients with occupational pneumoconiosis were reported in Jiangsu Province from 2006 to 2017. In those patients, 8 559 were newly diagnosed and 768 had advanced disease. The male-female ratio was 16.34:1.Patients with stage I pneumoconiosis(6 994, 74.99%) were dominant in all the patients. The mean age of onset and length of dust exposure were 58.5±10.7 and 15.3±10.9 years, respectively. Most of the patients (6 012, 64.46%) had an age of onset between 50 and 69 years. For the length of dust exposure, the highest percentage was observed in patients exposed for no more than 5 years (2 231, 23.92%).The largest number of patients diagnosed with pneumoconiosis(1 200, 12.87%) was reported in 2010. Most of the patients(7 012, 75.18%) were from four cities, i.e, Wuxi (2 090, 22.41%), Yancheng (1 987, 21.30%), Suzhou (1 552, 16.64%), and Xuzhou (1 383, 14.83%). In all the patients, the incidence of silicosis (6791, 72.81%) was highest, followed by coal worker pneumoconiosis (1 364, 14.62%) and electric welder pneumoconiosis (563, 6.04%).Pneumoconiosis complicated by tuberculosis was found in 28 (0.3%) patients.A total of 1616 (17.33%) patients were reported in health, social security, and social welfare industries, while 1474 (15.80%) patients worked for coal mining and washing. Rock drillers (2 818, 30.21%) were dominant in those patients.State-owned economic enterprises reported the largest number of patients(5 441, 58.34%).Patients from small enterprises (4 323, 46.35%) had the highest percentage. Pneumoconiosis is an occupational disease with a high incidence in Jiangsu Province. Pneumoconiosis patients show an industry- and job-centered distribution. The length of dust exposure is decreasing.
分析2006年至2017年中国江苏省职业性尘肺病的特征和发病模式，为政府部门制定有效的职业性尘肺病干预措施和预防策略提供科学依据。从江苏省职业性尘肺病在线报告中检索出9327例职业性尘肺病患者的数据。分别使用Excel工作表和SPSS 20.0软件对数据进行整理和分析。对这些患者的发病年龄、接尘工龄、工种、行业类别、尘肺病类型、尘肺病年发病率、地区分布、企业规模和经济类型进行了流行病学统计分析。2006年至2017年江苏省共报告9327例职业性尘肺病患者。其中，新诊断患者8559例，病情进展患者768例。男女比例为16.34:1。所有患者中，一期尘肺病患者占主导（6994例，74.99%）。发病年龄和接尘工龄的均值分别为58.5±10.7岁和15.3±10.9年。大多数患者（6012例，64.46%）发病年龄在50至69岁之间。接尘工龄方面，表示接尘不超过5年的患者比例最高（2231例，23.92%）。2010年报告的尘肺病确诊患者数量最多（1200例，12.87%）。大多数患者（7012例，75.18%）来自四个城市即无锡（2090例, 22.41%）、盐城（1987例, 21.30%）、苏州（1552例, 16.64%）和徐州（1383例, 14.83%））。所有患者中，矽肺病发病率最高（6791例，72.81%），其次是煤工尘肺（1364例，14.62%）和电焊工尘肺（563例，6.04%）。发现28例（0.3%）患者并发肺结核。共有1616例（17.33%）患者报告来自卫生、社会保障和社会福利行业, 而1474例（15.80%）患者从事煤炭开采和洗选行业。这些患者中凿岩工占主导（2818例, 30.21%））。国有经济企业报告的患者数量最多（5441例,58.34%）。来自小企业的患者比例最高（4323例,46.35%）。尘肺病是江苏省一种高发的职业病。尘肺病患者呈现以行业和工种为中心的分布。接尘工龄呈下降趋势。
