连云港市2003—2008年诊断尘肺病例的流行病学分析

目的了解连云港市尘肺病的发病状况及流行特征,做好尘肺病的预防工作。方法采用流行病学方法,对连云港市2003—2008年新诊断尘肺病资料进行统计分析。结果新诊断尘肺病138例,分布于10个行业系统,Ⅰ期108人,Ⅱ期28例,Ⅲ期2例,分别占78.26%、20.29%、1.45%。2003年诊断尘肺病例的平均发病工龄明显长于2007、2008年诊断病例,差异有统计学意义(P0.01)。尘肺病例中接尘工龄小于或等于5年的有35例,其中Ⅰ期、Ⅱ期各有17人,Ⅲ期1人,其中Ⅱ期、Ⅲ期主要来自私营企业,诊断于2007—2008年。结论近年来一些私营企业粉尘危害十分严重,尘肺发病的工龄越发缩短、病情越发严重。应加强尘肺病的防治工作。

Epidemiological Analysis of Pneumonoconiosis in Lianyungang City during 2003-2008

Objective] To understand the incidence and epidemiologic features of pneumonoconiosis in Lianyungang City, and prevent the occurrence of pneumonoconiosis. Methods] Epidemiologic method was adopted to conduct statistical analysis on newly diagnosed pneumoconiosis cases in Lianyungang City during 2003 -2008. Results] A total of 138 cases of pneumonoconiosis were diagnosed, and distributed in 10 industries, 108 （78.26%） cases at stage Ⅰ , 28（20.29% ） at stage Ⅱ and 2（ 1.45% ） at stage Ⅲ. The average service length of pneumoconiosis patients diagnosed in 2003 were obviously longer than that of patients diagnosed in 2007 and 2008, the difference was significant （P 〈 0. 01 ）. 35 patients＇exposure lengths were less than or equal to 5 years, among which 17 were at stage Ⅰ , 17 at stage Ⅱ, and 1 at stage Ⅲ. The most cases of stage Ⅱ and stage Ⅲ belonged private enterprises and were diagnosed during 2007 -2008. Conclusion] In recent years, dust hazards are serious in some private enterprises. Exposure time of pneumonoconiosis cases to the dust gradually become shorter and its symptoms gradually become more serious. Therefore, it is necessary to strengthen the prevention of pneumonoconiosis.