Wang Q, Liu L P, Zhu K, Wang Z H, Zhang M, Bu N
Department of Occupational Health, Tongliao Center for Disease Control and Prevention, Tongliao 028000, China.
Baotou Medical College Inner Mongolia University of Science and Technology, Baotou 014000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2023 Sep 20;41(9):659-663. doi: 10.3760/cma.j.cn121094-20220524-00276.
To investigate the occupational hazard factors of different industries in Tongliao City, and to provide scientific basis for the prevention and control of occupational disease in Tongliao City. In July 2021, the detection data of coal dust, silica dust, cement dust, benzene, noise and other occupational hazard factors, as well as the occupational health examination data of workers in various positions of 104 enterprises in different industries in Tongliao City were cllected and anylazed. χ(2) test was used to analyze the results of chest radiography of workers in different age groups. A total of 104 enterprises were investigated, and the median time-weighted average concentration ((TWA)) of coal dust, silic a dust, cement dust and benzene in contact with test posts were 0.94, 0.30, 0.70 and 0.95 mg/m(3), respectively. The median 8 h equivalent sound level ((EX, 8 h)) of noise was 74.1 dB (A) . The over standard rates of silica dust, cement dust and noise contact positions were 10.83% (16/240) , 7.14% (2/28) and 0.48% (3/628) , respectively. The differences of chest X-ray examination of coal dust and silica dust workers in different working ages were statistically significant (χ(2)=218.50, 531.80, <0.001) . The difference of hearing threshold of noise workers with different working age was statistically significant (χ(2)=1290.00, <0.001) . The rates of leukopenia and neutropenia were 41.90% (44/105) and 20.95% (22/105) in benzene exposed workers. The positive rate of brucella exposure workers was 1.33% (1/75) for tiger red plate agglutination test and 3.23% (3/93) for tube agglutination test. Silica dust, cement dust and noise exceed the standard in some posts and places in the Tongliao City, and some workers are infected with Brucella. In the future, we can focus on monitoring noise-generating posts, strengthen supervision and implement prevention and control measures to reduce the incidence of occupational diseases.
为调查通辽市不同行业的职业危害因素,为通辽市职业病防治提供科学依据。2021年7月,收集并分析了通辽市104家不同行业企业各岗位工人的煤尘、矽尘、水泥粉尘、苯、噪声等职业危害因素检测数据以及职业健康检查数据。采用χ(2)检验分析不同年龄组工人的胸部X线检查结果。共调查104家企业,接触检测岗位的煤尘、矽尘、水泥粉尘和苯的时间加权平均浓度(TWA)中位数分别为0.94、0.30、0.70和0.95mg/m(3)。噪声的8小时等效连续A声级(LEX,8h)中位数为74.1dB(A)。矽尘、水泥粉尘和噪声接触岗位超标率分别为10.83%(16/240)、7.14%(2/28)和0.48%(3/628)。不同工龄的煤尘和矽尘作业工人胸部X线检查差异有统计学意义(χ(2)=218.50、531.80,P<0.001)。不同工龄的噪声作业工人听阈差异有统计学意义(χ(2)=1290.00,P<0.001)。苯接触工人白细胞减少率和中性粒细胞减少率分别为41.90%(44/105)和20.95%(22/105)。布鲁氏菌接触工人虎红平板凝集试验阳性率为1.33%(1/75),试管凝集试验阳性率为3.23%(3/93)。通辽市部分岗位和场所存在矽尘、水泥粉尘和噪声超标情况,部分工人感染布鲁氏菌。今后可重点监测噪声产生岗位,加强监管并落实防控措施,以降低职业病发病率。