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[某省苯接触工人健康状况调查]

[Investigation on the health status of workers exposed to benzene in one province].

作者信息

Liu X A, Xu Y P, Guo C X, Liu Y Q

机构信息

Jiangxi Provincial Institute of Occupational Disease Prevention, Nanchang 330006, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Mar 20;38(3):231-234. doi: 10.3760/cma.j.cn121094-20190409-00140.

Abstract

To explore the health status of occupational benzene exposure workers, and to provide a scientific basis for the development of reasonable health monitoring and effective protective measures. In March 2019, the occupational health surveillance data were collected including blood pressure, electrocardiogram, blood routine, urine routine, liver function, etc of 7810 benzene contact workers in 150 enterprises in Jiangxi Province in 2017, to analyze and assess their health status. Among the 7810 benzene workers, there were 5451 males and 2359 females; the average age was (40.5±9.9) years; and the median benzene working age was 3.5 years. The detection rate of hypertension was 17.0% (734/4317) , the abnormal rate of urine routine was 15.7% (1227/7810) , the abnormal rate of liver function was 8.6% (356/4147) , and the abnormal rate of electrocardiogram was 12.3%(963/7810). The detection rates of low count number of leukocytes, platelets, neutrophils and occupational contraindications were 4.6%(360/7810) , 1.4%(108/7810) , 4.2%(330/7810) and 1.4%(110/7810) , respectively. The detection rates of low count number of leukocytes, platelets and neutrophils in female were all higher than those in male (<0.05). The detection rates of low count number of platelets, neutropenia and occupational contraindications increased with age and working age (<0.05 ). There were significant differences in the detection rates of low count number of leukocytes, platelets, neutrophils and occupational contraindications among benzene workers in different economic types (<0.05) , and the highest among foreign companies, followed by private enterprise. There were statistically significant differences in the detection rates of low count number of platelets, neutrophils and occupational contraindications in benzene workers of different enterprise sizes (<0.05) , and the highest was found in micro enterprises, followed by small enterprises. In 2017, the occupational health status of workers exposed to benzene in Jiangxi province is not optimistic. It is necessary to strengthen the occupational health supervision of small and micro-sized enterprises, foreign enterprises and private enterprises, take the initiative to improve health surveillance, and effectively protect the physical and mental health of workers.

摘要

为了解职业性苯接触工人的健康状况,为制定合理的健康监护及有效的防护措施提供科学依据。收集2017年江西省150家企业7810名苯接触工人的职业健康监护资料,包括血压、心电图、血常规、尿常规、肝功能等,分析评价其健康状况。7810名苯作业工人中,男性5451名,女性2359名;平均年龄(40.5±9.9)岁;苯作业工龄中位数为3.5年。高血压检出率为17.0%(734/4317),尿常规异常率为15.7%(1227/7810),肝功能异常率为8.6%(356/4147),心电图异常率为12.3%(963/7810)。白细胞、血小板、中性粒细胞计数低及职业禁忌证检出率分别为4.6%(360/7810)、1.4%(108/7810)、4.2%(330/7810)和1.4%(110/7810)。女性白细胞、血小板、中性粒细胞计数低的检出率均高于男性(P<0.05)。血小板计数低、中性粒细胞减少及职业禁忌证检出率随年龄和工龄增加而升高(P<0.05)。不同经济类型苯作业工人白细胞、血小板、中性粒细胞计数低及职业禁忌证检出率差异有统计学意义(P<0.05),其中外资企业最高,其次为民营企业。不同企业规模苯作业工人血小板计数低、中性粒细胞减少及职业禁忌证检出率差异有统计学意义(P<0.05),其中微型企业最高,其次为小型企业。2017年江西省苯接触工人职业健康状况不容乐观,需加强对小微企业、外资企业及民营企业的职业卫生监管,主动完善健康监护,切实保护工人身心健康。

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