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基于荟萃分析的中国煤矿矿难致伤原因及相关危险因素分析:一项统计研究

Analysis of Mining-Related Injuries in Chinese Coal Mines and Related Risk Factors: A Statistical Research Study Based on a Meta-Analysis.

机构信息

Institute of Medical Support Technology, Academy of System Engineering, Academy of Military Sciences, Tianjin 300161, China.

出版信息

Int J Environ Res Public Health. 2022 Dec 5;19(23):16249. doi: 10.3390/ijerph192316249.

Abstract

Background and Objectives: Coal mine injuries commonly occur, affecting both the safety and health of miners, and the normal operation of the coal mine. Accordingly, this study aimed to explore the regularity of injury and injury-related risk factors in coal mines in China so as to establish a scientific basis for reducing the incidence and promoting the prevention and control of injuries. Methods: A meta-analysis of casualty cases and injury-related risk factors from 1956 to 2017 in China was conducted utilizing data from six databases, including CNKI, Web of Science, PubMed, Medline, Embase, and Wanfang data. Summary estimates were obtained using random effects models. Results: There were statistically significant variations in coal mine accident types, types of work, injury sites, age, experience, months, and shifts (p < 0.001). Eight types of accidents were susceptible to the risk of injury, and the greatest risk was presented by roof-related accidents (odds ratio (OR) = 0.46, 95% confidence interval (CI) = 0.32−0.6). Coal miners and drillers were at a greater risk of injury (OR = 0.39, 95% CI = 0.35−0.44; OR = 0.22, 95% CI = 0.17−0.26, respectively). The extremities and the soft tissues of the skin were at the greatest risk of injury (OR = 0.44, 95% CI = 0.3−0.58; OR = 0.23, 95% CI = 0.1−0.48, respectively). Compared with other ages, miners aged 21−30 were at a greater risk of injury (21−30 years, OR = 0.45, 95% CI = 0.42−0.47; 31−40 years, OR = 0.29, 95% CI = 0.25−0.32; <20 years, OR = 0.13, 95% CI = 0.03−0.23; >40 years, OR = 0.17, 95% CI = 0.09−0.25). Compared with other miners, those with 6−10 years of experience were at a greater risk of injury (6−10 years, OR = 0.29, 95% CI = 0.25−0.32; 2−5 years, OR = 0.33, 95% CI = 0.25−0.41; <1 year, OR = 0.22, 95% CI = 0.08−0.33; >11 years, OR = 0.22, 95% CI = 0.17−0.27). During the months of July to September, the risk of injury was elevated (7−9th months, OR = 0.32, 95% CI = 0.25−0.39; 10−12th months, OR = 0.24, 95% CI = 0.16−0.31; 1st−3rd months, OR = 0.22, 95% CI = 0.16−0.28; 4−6th months, OR = 0.21, 95% CI = 0.16−0.27). In the three-shift work system, the risk of injury was higher during night shifts (22:00−06:00, OR = 0.43, 95% CI = 0.3−0.56; 14:00−22:00, OR = 0.3, 95% CI = 0.23−0.27; 06:00−14:00, OR = 0.27, 95% CI = 0.18−0.35). Conclusions: The results of this research study reveal that coal mine injuries are prevalent among coal miners. These injuries are often related to the age, experience, months of work, and the three-shift work system of miners.

摘要

背景与目的

煤矿事故时有发生,不仅影响矿工的安全和健康,还影响煤矿的正常运转。因此,本研究旨在探讨中国煤矿伤害的发生规律及相关危险因素,为降低伤害发生率、促进伤害预防和控制提供科学依据。方法:对 1956 年至 2017 年中国煤矿事故案例及伤害相关危险因素进行了元分析,数据来自 6 个数据库,包括中国知网、Web of Science、PubMed、Medline、Embase 和万方数据。使用随机效应模型获取汇总估计值。结果:煤矿事故类型、工种、受伤部位、年龄、工龄、月份和班次存在显著差异(p<0.001)。八种事故类型易受伤害风险影响,其中顶板相关事故的风险最大(比值比(OR)=0.46,95%置信区间(CI)=0.32-0.6)。煤矿工人和钻机工人受伤风险更大(OR=0.39,95%CI=0.35-0.44;OR=0.22,95%CI=0.17-0.26)。四肢和皮肤软组织受伤风险最大(OR=0.44,95%CI=0.3-0.58;OR=0.23,95%CI=0.1-0.48)。与其他年龄段相比,21-30 岁的矿工受伤风险更高(21-30 岁,OR=0.45,95%CI=0.42-0.47;31-40 岁,OR=0.29,95%CI=0.25-0.32;<20 岁,OR=0.13,95%CI=0.03-0.23;>40 岁,OR=0.17,95%CI=0.09-0.25)。与其他矿工相比,工龄 6-10 年的矿工受伤风险更高(6-10 年,OR=0.29,95%CI=0.25-0.32;2-5 年,OR=0.33,95%CI=0.25-0.41;<1 年,OR=0.22,95%CI=0.08-0.33;>11 年,OR=0.22,95%CI=0.17-0.27)。7-9 月受伤风险较高(7-9 月,OR=0.32,95%CI=0.25-0.39;10-12 月,OR=0.24,95%CI=0.16-0.31;1-3 月,OR=0.22,95%CI=0.16-0.28;4-6 月,OR=0.21,95%CI=0.16-0.27)。在三班倒工作制中,夜班的受伤风险更高(22:00-6:00,OR=0.43,95%CI=0.3-0.56;14:00-22:00,OR=0.3,95%CI=0.23-0.27;6:00-14:00,OR=0.27,95%CI=0.18-0.35)。结论:本研究结果表明,煤矿工人受伤较为普遍,且与年龄、工龄、工作月份和三班倒工作制有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d158/9739575/1da50a81aa2b/ijerph-19-16249-g001.jpg

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