2011-2017年核电系统工作人员首次职业健康检查情况分析

目的 分析核电系统工作人员的健康状况，为制定科学合理的管理制度提供一定的健康资料。方法 选择2011-2017年在我院进行职业健康检查的部分核电系统工作人员为研究对象，分析7年间员工的健康状况。结果 2011-2017年期间首次职业健康检查的核电系统工作人员中未检出疑似职业病人员，检出职业禁忌证人员共527人，全部结论均未见异常人员170人，每年95%以上的工作人员均检出其他疾病或异常结果，且7年内的变化差异均有统计学意义。职业禁忌证检出人数中构成比最高的为放射线作业人员，但检出率最高的为高气压作业人员。异常率比较高的体检项目主要有眼科、血常规、心电图、肝胆胰脾B超、纯音测听、肝功能、血脂及耳鼻喉常规检查。结论 核电系统工作人员的健康状况确实存在着一定的问题，应该引起行业管理部门的高度重视，进一步加强对该系统工作人员的健康监护。

Analysis of the first occupational health surveillance of workers in nuclear power system from 2011 to 2017

Objective To analyze the health status of nuclear power system workers and provide some scientific and reasonable health information for formulating health management. Methods The physical examination data of nuclear power system workers from Shenzhen Prevention and Treatment Center for Occupational Disease from 2011 to 2017 were selected to analyze the changes in the past 7 years. Results During the period from 2011 to 2017, there were no suspected occupational diseases among the nuclear power system workers who underwent the first physical examination, 527 workers were diagnosed with occupational contraindication, 170 workers did not have abnormal diseases,and more than 95% of the workers detected other diseases or abnormal symptoms every yearfrom 2011 to 2017.The change of each target disease was statistically significant within 7 years. The highest proportion of occupational contraindications was radiation workers, but the highest detection rate was high-pressure workers. Physical examination items with high abnormal rate mainly include ophthalmology, blood routine examination, electrocardiogram, B-mode ultrasonography of liver, gallbladder, pancreas and spleen, pure tone audiometry, liver function, blood lipid and routine examination of ear, nose and throat. Conclusion There are some problems in the health status of workers in nuclear power system,which should be paid close attentionby the industry management department and further strengthen the health monitoring of the system staff.