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湖北省2011年至2020年职业性尘肺病新病例的流行病学特征及趋势

[Epidemiological characteristics and trend of new cases of occupational pneumoconiosis in Hubei Province from 2011 to 2020].

作者信息

Wei T T, Mei L Y, Zhang H, Yao Y X, Zhen Z

机构信息

Institute of Hygiene Monitoring, Center for Disease Control and Prevention of Hubei Province, Wuhan 430079, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Jun 20;40(6):426-430. doi: 10.3760/cma.j.cn121094-20210420-00224.

Abstract

The epidemiological characteristics and trend of occupational pneumoconiosis in Hubei Province from 2011 to 2020 were analyzed to provide a theoretical basis for the development of prevention and control strategies for occupational pneumoconiosis. In March 2021, the data of newly occupational pneumoconiosis in Hubei Province from 2011 to 2020 were collected by the Occupational Diseases and Health Risk Factors Information Surveillance System. Descriptive statistics were adopted to analyze basic situation, region, industry, type of disease, year of diagnosis, age of onset and dust exposureduration of the cases. From 2011 to 2020, a total of 7203 new cases of occupational pneumoconiosis were reported in Hubei Province, including 7125 (98.92%) men and 78 (1.08%) women. The average age of onset was (54.03±10.12) years old. The average duration of dust exposure was (13.80±9.56) years. The mainly types of pneumoconiosis were coal worker's pneumoconiosis (3593 cases, 49.88%) and silicosis (3301 cases, 45.83%). The cases included 4814 cases (66.83%) of stage Ⅰ pneumoconiosis, 1270 cases (17.63%) of stage Ⅱ and 1119 cases (15.54%) of stage Ⅲ. New cases mainly distributed in Yichang City (1586 cases, 22.02%), Shiyan City (1257 cases, 17.45%), Enshi Tujia and Miao Autonomous Prefecture (1050 cases, 14.58%) and Huangshi City (1009 cases, 14.01%), and occurred most frequently in coal mining and washing industry (3743 cases, 51.96%) and nonmetallic mining industry (582 cases, 8.08%). Pneumoconiosis patients of stage Ⅲ were mainly distributed in small enterprises (401 cases, 50.25%) and domestic enterprises (796 cases, 99.75%) . Coal worker's pneumoconiosis and silicosis accounted for the vast majority pneumoconiosis in Hubei Province. The new cases show obvious regions, industries and type of disease distribution. We should strengthen occupational health supervision in small and domestic enterprises.

摘要

分析湖北省2011年至2020年职业性尘肺病的流行病学特征及趋势,为制定职业性尘肺病防控策略提供理论依据。2021年3月,通过职业病与健康危险因素信息监测系统收集湖北省2011年至2020年新报告职业性尘肺病数据。采用描述性统计分析病例的基本情况、地区、行业、病种、诊断年份、发病年龄及接尘工龄。2011年至2020年,湖北省共报告新诊断职业性尘肺病病例7203例,其中男性7125例(98.92%),女性78例(1.08%)。平均发病年龄为(54.03±10.12)岁。平均接尘工龄为(13.80±9.56)年。主要尘肺病类型为煤工尘肺(3593例,49.88%)和矽肺(3301例,45.83%)。病例中Ⅰ期尘肺病4814例(66.83%),Ⅱ期1270例(17.63%),Ⅲ期1119例(15.54%)。新病例主要分布在宜昌市(1586例,22.02%)、十堰市(1257例,17.45%)、恩施土家族苗族自治州(1050例,14.58%)和黄石市(1009例,14.01%),发病最多的行业是煤炭开采和洗选业(3743例,51.96%)和非金属矿采选业(582例,8.08%)。Ⅲ期尘肺病患者主要分布在小型企业(401例,50.25%)和乡镇企业(796例,99.75%)。煤工尘肺和矽肺占湖北省尘肺病的绝大多数。新病例呈现明显的地区、行业和病种分布特征。应加强对小型企业和乡镇企业的职业卫生监管。

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